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. 2024 Nov 19;16(11):e74057.
doi: 10.7759/cureus.74057. eCollection 2024 Nov.

Intestinal Injury After Suprapubic Catheterisation: A Scoping Review

Farhan Jarral  1 , Abdelrahman Hamdy  2 , Osama Abusand  3 , Rosa Mobayen  4 , Evripidis Tokidis  5
Affiliations

Intestinal Injury After Suprapubic Catheterisation: A Scoping Review

Farhan Jarral et al. Cureus. .

Abstract

Suprapubic catheterisation (SPC) is a commonly performed urological procedure. Although it is generally safe, SPC-induced bowel injury is a rare but morbid complication. It is described in the literature, but management consensus is lacking. A scoping review was conducted assessing existing literature regarding the management of intestinal injury. The review highlighted that bowel perforation, particularly involving the small bowel and terminal ileum, is the commonest SPC-related bowel injury type. Depending on the severity of the injury and the patients' condition, various management strategies, ranging from exploratory laparotomy to less invasive techniques like laparoscopic intervention, are documented. Despite the introduction of preventive measures, such as ultrasound guidance, intestinal injury occurs. SPC-associated bowel injury is a serious but rare complication despite available preventative measures. Its management varies and depends on the part of the bowel injured and its severity. This review highlights reported management strategies specific to this injury and a literature summary to aid future quality improvement on the topic.

Keywords: bowel injury; complication management; literature summary; scoping review; suprapubic catheter.

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Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. PRISMA flow diagram
TRIP PRO: Turning Research Into Practice Professional; BAUS: British Association of Urological Surgeons; PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses
See this image and copyright information in PMC

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