{"pk":35602,"title":"Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra","subtitle":null,"abstract":"<p><strong>Case Presentation: </strong>An 83-year-old male with a history of prostate cancer and prior prostatectomy presented with lower abdominal pain, urethral leakage, and hematuria after a routine suprapubic catheter exchange, which was found to be incorrectly positioned in the bulbar urethra, leading obstructive nephropathy with mild hydronephrosis. </p>\n<p><strong>Discussion: </strong>This case highlights the increased risk of suprapubic catheter misplacement and complications in elderly patients with neurogenic bladder and altered urinary anatomy, particularly after prostatectomy and artificial urethral sphincter placement. It emphasizes the importance of careful management during catheter exchanges in such patients to prevent complications of misplacement.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Suprapubic Catheter"},{"word":"Urethral Malposition"},{"word":"Neurogenic Bladder"},{"word":"Emergency Medicine"},{"word":"Obstructive Nephropathy"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3j79z68t","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Lipinski","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, Arizona","department":""},{"first_name":"Jordan","middle_name":"Riley","last_name":"Pollock","name_suffix":"","institution":"Mayo Clinic, Department of Radiology, Phoenix, Arizona","department":""},{"first_name":"Nelly","middle_name":"","last_name":"Tan","name_suffix":"","institution":"Mayo Clinic, Department of Radiology, Phoenix, Arizona","department":""},{"first_name":"Douglas","middle_name":"","last_name":"Rappaport","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Phoenix, Arizona","department":""}],"date_submitted":"2024-10-03T01:17:19.912000-04:00","date_accepted":"2024-11-25T12:10:13.554000-05:00","date_published":"2025-01-19T18:45:00-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35602/galley/31549/download/"}]}