Ureteral Rupture Caused by Accidental Intubation of the Ureter with a Foley-Catheter during Ureterorenoscopy

Löcherbach, F.; Grimsehl, Philipp; Sauer, Andrew J.; Wyler, Stephen; Kwiatkowski, Maciej

doi:10.1155/2018/9738265

Cited by 5 publications

(10 citation statements)

References 6 publications

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“…These conditions may explain the intraureteral entry of BIC or SPC during their placement or the spontaneous intraureteral migration of the catheter, which can occur on more than one occasion in the same patient (19,27); six reported cases attended the ER between 10 and 60 days after the last catheter replacement. However, this event can also occur in patients with unknown neurological or urological pathology, and two incidental findings have been reported during laparotomy and two cases in the perioperative period of cesarean section (6,12,16,17,23,26,30). The most frequent clinical presentation was a pain in 65% of cases, although this may be absent, especially in patients with upper motor neuron disease due to impaired pain perception.…”

Section: Discussionmentioning

confidence: 99%

Ureteral Obstruction Due to Inadvertent Placement of the Suprapubic Catheter and Bladder Indwelling Catheter: Presentation of Two Clinical Cases and Review of the Literature

et al. 2022

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Introduction: Suprapubic catheter (SPC) and bladder indwelling catheter (BIC) placement are among the most common urological procedures. Inadvertent misplacement of the catheter tip into the ureteral orifice is an infrequent event with potentially critical complications. Case Presentation: We describe two cases of inadvertent intraureteral misplacement of an SPC and a BIC. A 66-year-old man with chronic kidney disease (CKD) stage G3b, urethral stenosis, long-term SPC who attended the emergency room (ER) 6 hours after the last catheter replacement due to low back pain, fever, deterioration of the general condition, anuria, acute kidney injury (AKI); CT-scan revealed a left uretero-hydronephrosis secondary to obstruction of the catheter balloon misplaced inside the distal ureter. A 59-year-old woman with CKD stage G3b, post-radiotherapy cystitis, and small capacity bladder, long-term BIC who attended the ER a few hours after the last BIC replacement due to abdominal pain, anuria, AKI; CT-scan revealed left hydronephrosis secondary to catheter obstruction within the distal ureter. In both patients, management was conservative, consisting of removing the catheter and repositioning it inside the bladder, in addition to hydration and antibiotherapy. Conclusions: These cases illustrate that awareness of this rare complication can be prevented by confirming the correct positioning of SPC or BIC after its replacement. Early detection and management of this complication can prevent a serious clinical setting.

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Section: Discussionmentioning

confidence: 99%

Ureteral Obstruction Due to Inadvertent Placement of the Suprapubic Catheter and Bladder Indwelling Catheter: Presentation of Two Clinical Cases and Review of the Literature

et al. 2022

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“…fistula. Since it extends from the kidney to the bladder, it reduces the risk of both kidney ectasia and renal failure 4 Kidney stones, ureteral and bladder cancers, ureteral obstructions, ureteral polyps and blood clots are intrinsic reasons for catheterisation. Retroperitoneal fibrosis, maternal hydronephrosis in pregnancy, abscesses, hematomas, vascular anomalies and iatrogenic injuries are extrinsic reasons for catheterisation.…”

Section: Discussionmentioning

confidence: 99%

“…The patients' mean IIEF-15 score and sub-dimension scores a month after double-J catheterisation were lower than their mean scores before catheterisation at significant levels (Table 3). Although the most common purpose of double-J catheterisation is to remove obstruction caused by ureter stones, it is also commonly used to prevent urinary extravasation after surgical operations 3,4 Although double-J insertion has benefits, it also has undesired adverse effects and complications. 7 Previous studies have found that lower urinary tract symptoms emerge after catheter replacement, which causes psychological problems, such as anxiety and depression.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in patients after double‐J catheterisation: A cross‐sectional, prospective study

Özlü

Kılınç

et al. 2021

Int J Clin Pract

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Ureteral catheterisation is a practice that has been frequently used in urology since 1967.It is used before surgical interventions, to monitor urinary output, in cases of urinary incontinence and to remove urinary obstructions. 1,2 Double-J ureteral catheterisation is commonly used as an effective treatment for ureteral obstructions. It is called a double-J catheter because its two ends look like the letter J with curving ends that prevent the stent slipping into the bladder or the kidney. The indwelling time of double-J catheter is directly related to the reason for catheterisation. The catheter is usually placed for 2-4 weeks after a kidney stone operation and frequently placed for 6 weeks after laparoscopic or open urethral stricture surgery. 3 Double-J catheters are used to maintain urinary flow from the kidney to the bladder in intrinsic or extrinsic pathologies causing ureteral obstruction or

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“…A recent literature review and case series by Luo et al 1 identified 23 cases of ureteric misplacement of catheters and our own review notes eight further cases since. 2–8 These can present as catheter-related problems such as pain, blockage or bypassing but also with systemic upset including sepsis and acute renal failure. Iatrogenic injuries of the ureter have been reported requiring stenting or surgical repair.…”

Section: Introductionmentioning

confidence: 99%

“…Iatrogenic injuries of the ureter have been reported requiring stenting or surgical repair. 8,9 Ureteric catheterisation has also been noted to occur in suprapubic catheters and as result of diagnostic imaging. 7,10…”

Section: Introductionmentioning

confidence: 99%

Urethral catheter trapped in the ureter removed using holmium laser: An unusual case and review of the literature

Sturgess

Gill

2020

Journal of Clinical Urology

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Inadvertent placement of a urethral catheter into the ureter is a rare but documented complication of catheterisation. Management becomes more challenging when the catheter cannot be removed using conservative techniques. We present the case of an 85-year-old male with a history of bladder cancer treated with intravesical Bacillus Calmette–Guérin (BCG) therapy who was found to have a urethral catheter stuck in his left ureter on computerized tomography scan after a routine catheter change. The catheter balloon was punctured using ureteroscopy and Holmium laser. Our literature review identified five other cases where a misguided urethral catheter required surgical intervention for removal from the ureter and the different techniques used are discussed. Risk factors appear to be pregnancy and structural changes to the bladder resulting in widened ureteric orifices including BCG therapy. We suggest that laser puncture of an inflated catheter balloon is a safe and effective method for facilitating removal. Level of evidence: 4

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Ureteral Rupture Caused by Accidental Intubation of the Ureter with a Foley-Catheter during Ureterorenoscopy

Cited by 5 publications

References 6 publications

Ureteral Obstruction Due to Inadvertent Placement of the Suprapubic Catheter and Bladder Indwelling Catheter: Presentation of Two Clinical Cases and Review of the Literature

Ureteral Obstruction Due to Inadvertent Placement of the Suprapubic Catheter and Bladder Indwelling Catheter: Presentation of Two Clinical Cases and Review of the Literature

Sexual dysfunction in patients after double‐J catheterisation: A cross‐sectional, prospective study

Urethral catheter trapped in the ureter removed using holmium laser: An unusual case and review of the literature

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