Key Questions
1. What are the complications of suprapubic catheter insertion?
Although rare, complications such as bowel perforation and infection can occur, and these can be significant if not promptly identified and treated.
2. How can bowel perforation be prevented during suprapubic catheter insertion?
Using ultrasound guidance during insertion can help reduce the risk of bowel perforation, particularly in patients with a history of lower abdominal scars.
3. How is delayed bowel perforation identified in patients with a suprapubic catheter?
Delayed bowel perforation can present with peritonitis and feculent discharge along the catheter, usually several weeks or months after insertion.
4. What is the recommended management for bowel perforation due to a suprapubic catheter?
Management typically involves surgical intervention to repair the perforation, along with antibiotic therapy to manage any infection.
