Unusual complications of intermittent self-catheterisation in spinal cord injury patients

Spinal Cord
S VaidyanathanM H Fraser

Abstract

Three unusual complications of intermittent self-catheterisation in spinal cord injury patients observed over a period of 30 months are described. (1) Two patients performing intermittent catheterisation with a PVC catheter requiring the use of lignocaine gel to numb the urethra, developed allergic reaction in the form of swelling and erythematous lesions around the external urethral meatus. This rare complication was overcome by switching over to the use of a Lofric catheter instead of a PVC catheter for intermittent catheterisation. (2) Urethral bleeding was observed on three occasions in male paraplegic patients performing intermittent self-catheterisation who had allowed the bladder to become over-distended. Bladder emptying therefore, took nearly 10 min, by which time the Lofric catheter became too sticky in the urethra and required undue force for withdrawal, resulting in trauma to the adherent urethral mucosa and urethral bleeding. By adopting the policy of catheterisation at regular intervals and not allowing the bladder to become distended beyond 450 ml of urine, this complication was never seen again either in these three patients or in any other patient using Lofric catheter for intermittent urethral catheterisation....Continue Reading

Citations

May 11, 2013·Journal of Materials Science. Materials in Medicine·K H DellimoreS E Franklin
Sep 21, 2001·BJU International·M FaderJ Malone-Lee
Oct 6, 2012·Clinics in Plastic Surgery·Milomir NinkovicUlf Dornseifer
Sep 1, 2021·Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses·Antonio J FortePeter N Broer
Sep 29, 2021·Archives of Plastic Surgery·Antonio Jorge FortePeter N Broer

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