R W Lobel1, P K Sand. 1. Evanston Continence Center, Department of Obstetrics and Gynecology, Evanston Hospital, Northwestern University Medical School, Illinois, USA.
Abstract
BACKGROUND: Suprapubic catheterization is a popular method of bladder drainage after gynecologic surgery. We report two cases of incisional hernia that developed after suprapubic catheterization. CASES: The first case involved a 64-year-old woman who underwent Burch urethropexy. Her suprapubic catheter was not removed until postoperative day 55 because of prolonged retention. She presented 1 month later with abdominal pain. In the second case, a 65-year-old woman had vesicovaginal fistula repair with suprapubic catheterization for 2 weeks after surgery. Five months later, she presented with abdominal pain. In both cases, examination revealed a hernia at the catheter exit site. CONCLUSION: Incisional hernia is a rare complication of suprapubic catheterization that should be considered in patients who present with abdominal discomfort some time after catheterization.
BACKGROUND: Suprapubic catheterization is a popular method of bladder drainage after gynecologic surgery. We report two cases of incisional hernia that developed after suprapubic catheterization. CASES: The first case involved a 64-year-old woman who underwent Burch urethropexy. Her suprapubic catheter was not removed until postoperative day 55 because of prolonged retention. She presented 1 month later with abdominal pain. In the second case, a 65-year-old woman had vesicovaginal fistula repair with suprapubic catheterization for 2 weeks after surgery. Five months later, she presented with abdominal pain. In both cases, examination revealed a hernia at the catheter exit site. CONCLUSION: Incisional hernia is a rare complication of suprapubic catheterization that should be considered in patients who present with abdominal discomfort some time after catheterization.
Authors: Hasan Ediz Sikar; Kenan Çetin; Kemal Eyvaz; Levent Kaptanoglu; Hasan Fehmi Küçük Journal: Wideochir Inne Tech Maloinwazyjne Date: 2017-07-03 Impact factor: 1.195