ABSTRACT

Suprapubic catheters (SPCs) have advantages over urethral catheters with respect to decreased bacteriuria and greater patient acceptability. Catheter encrustation is one of the most common intricacies of SPC and is treated with extracorporeal shock wave lithotripsy and endoscopy lithotripsy. We reported a case of blocked, encrusted SPC, along with urethral injury, that was further complicated by pulmonary embolism. All conventional techniques to treat encrustation were not suitable due to worsening of urethral injury and risk of bleeding as the patient was taking anti-coagulants. Therefore, we adopted a safe and quick procedure by which a 5 mm 0° cystoscope was inserted and the encrusted part of the catheter was fragmented, using artery forceps, leading to removal of the catheter without jeopardy to the catheter track and patient’s safety.