Urethrogluteal Fistula Developing Secondary to the Use of Clean Intermittent Self-Catheterization: First Case Report in the Literature

Abstract

Clean intermittent self-catheterization is the standard method for bladder evacuation in these patients today. The patient was diagnosed with urethrogluteal fistula and gluteal-perineal abscess by radiological evaluation. Gluteal drainage decreased after cystostomy. In our paper, a case of urethrogluteal fistula and pelvic urinoma that developed as a result of the use of clean intermittent self-catheterization (CISC), which is rarely found in the literature, is presented.

Scrotal abscess due to urethral fistula in spinal cord injured patient with prolonged indwelling urinary catheter

“…Some of the fistulas can be treated with simple procedures such as urethral catheterization and follow-up, but some of the others needs a surgical procedure. [ 6 ] In our case, in the presence of scrotal abscess complications, immediate action is needed to prevent more severe complications. We performed suprapubic cystostomy with scrotal incision to evacuate the abscess and then a penrose drain was placed in the abscess.…”