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  4. Unexpected foreign body in the bladder of a spinal cord injured patient: A case report

Unexpected foreign body in the bladder of a spinal cord injured patient: A case report

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1557862 · Published: January 1, 2019

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

Spinal cord injuries can lead to bladder dysfunction, often managed with clean intermittent catheterization (CIC). This case report highlights an unusual complication: a piece of the catheter itself breaking off and remaining in the bladder. A 40-year-old woman with a spinal cord injury, who used CIC, experienced increased spasticity and urinary leakage. Doctors discovered pieces of the catheter's 'insertion sleeves' in her bladder. This case emphasizes the importance of educating patients and caregivers about potential complications of CIC, including the possibility of catheter fragments remaining in the bladder.

Study Duration
Not specified
Participants
One 40-year-old female patient with spinal cord injury
Evidence Level
Level 4; Case Report

Key Findings

  • 1
    A rare complication of CIC was identified where 'insertion sleeves' from the catheter detached and remained in the bladder.
  • 2
    The presence of these foreign bodies exacerbated the patient's symptoms, including increased spasticity and urinary leakage.
  • 3
    Removal of the foreign bodies led to a noticeable improvement in the patient's condition, with a reduction in both urinary leakage and spasticity.

Research Summary

This case report describes the unexpected finding of catheter fragments in the bladder of a spinal cord injured patient using clean intermittent catheterization (CIC). The patient presented with increased spasticity and urinary leakage, which were found to be caused by retained 'insertion sleeves' from the catheter. The report emphasizes the importance of patient education regarding potential complications of CIC and the need to consider catheter fragments as a possible cause of bladder-related symptoms in this population.

Practical Implications

Enhanced Patient Education

Comprehensive education for patients and caregivers about potential CIC complications can prevent similar incidents.

Careful Catheter Use

Emphasize the importance of checking catheter integrity before and after use to identify any damage or potential fragmentation.

Regular Monitoring

Regular urinary system evaluations, including imaging, should be considered for patients with neurogenic bladder, especially when new or worsening symptoms arise.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Reliance on patient's self-report regarding catheter use.
  • 3
    Lack of long-term follow-up to assess recurrence.

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