A rare complication: Misdirection of an indwelling urethral catheter into the ureter

Tsutomu Ishikaw, Motoo Araki, Takeshi Hirata, Masami Watanabe, Shin Ebara, Toyohiko Watanabe, Yasutomo Nasu, Hiromi Kumon

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We report 3 patients with the rare complication of an indwelling urethral catheter misdirected into the ureter. This is the largest series to date. Patients were referred to us for a variety of reasons following exchange of their chronic indwelling urinary catheters. CT in all cases demonstrated the urinary catheters residing in the left ureter. The ages of the patients were 37, 67 and 81 years old. All patients suffered from neurogenic bladder. Two patients were female, one was male, and 2 of the 3 had a sensory disorder inhibiting their pain response. The catheters were replaced with open-end Foley catheters. Extensive follow-up CT scans were obtained in one case, demonstrating improvement of hydronephrosis and no evidence of ureteral stenosis. Cystoscopy in this patient demonstrated normally positioned and functioning ureteral orifices. Although the placement of an indwelling urethral catheter is a comparatively safe procedure, one must keep in mind that this complication can occur, particularly in female patients with neurogenic bladder. CT without contrast is a noninvasive, definitive diagnostic tool.

Original languageEnglish
Pages (from-to)47-51
Number of pages5
JournalActa medica Okayama
Volume68
Issue number1
Publication statusPublished - 2014

Keywords

  • Complication
  • Computed tomography
  • Imaging
  • Indwelling urethral catheter
  • Ureter

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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