Trapped cystofix: Laparoscopic modality to untie

Assikin Muhamad; Syamim Johan; Allim Khairuddin; Firdaus Hayati; Alvin Oliver Payus; Zainal Adwin Zainal Abidin

doi:10.1016/j.eucr.2020.101448

Trapped cystofix: Laparoscopic modality to untie

Urol Case Rep. 2020 Oct 9:34:101448. doi: 10.1016/j.eucr.2020.101448. eCollection 2021 Jan.

Authors

Assikin Muhamad¹, Syamim Johan², Allim Khairuddin², Firdaus Hayati¹, Alvin Oliver Payus³, Zainal Adwin Zainal Abidin⁴

Affiliations

¹ Department of Surgery, Faculty of Medicine and Health Sciences, Kota Kinabalu, Sabah, Malaysia.
² Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
³ Department of Medicine, Faculty of Medicine and Health Sciences, Kota Kinabalu, Sabah, Malaysia.
⁴ Department of General Surgery, Surgical Sciences Cluster, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.

Abstract

Suprapubic catheterization (SPC) is a temporary measure to relieve acute urinary retention (AUR). Despite being effective, it can lead to complications such as colon perforation, haematuria, and bladder wall spasm. We present a 52-year-old lady with cystofix for underlying urethral stricture presented with AUR. A new SPC was inserted to drain the urine. However, the SPC had looped and entangled with her cystofix, and laparoscopic removal of cystofix and insertion of a new SPC was done. In conclusion, trapped cystofix to the SPC tube is a potential complication during SPC insertion that can be avoided with appropriate care.

Keywords: AUR, Acute Urinary Retention; CT, Computed Tomography; Laparoscopy; SPC, Suprapubic Catheterization; Suprapubic catheterization; Urethral stricture; Urinary retention.

Publication types

Case Reports