Ann Clin Case Rep | Volume 7, Issue 1 | Research Article | Open Access

Urethral Reconstruction for an Iatrogenic Female Urethral Rupture Following Foley Catheterization with Pelvic Organ Prolapse Repair: A Case Report and a Review of Literature

Gunjan Bahuguna1*, Nidhi Kurkal1, Ashok Anand1, Venkat Arjunrao Gite2, Nisha Jha1 and Pratyasha Swain1

1Department of Obstetrics and Gynecology, Grant Medical College and Sir JJ Group of Hospitals Mumbai, India
2Department of Urology, Grant Medical College and Sir JJ Group of Hospitals Mumbai, India

*Correspondance to: Gunjan Bahuguna 

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Abstract

Introduction: In the earlier days, urethral injury was most commonly seen because of obstetric trauma but now it is been more seen iatrogenically after urogynecological surgeries. Even though they are not very common, it’s pertinent to know their management. We have described an interesting case of pelvic organ prolapse repair with urethral reconstruction for a traumatic rupture of the urethra after improper Foley catheterization and related literature to the case. Patient and Methods: Our index case was a 67-year-old lady who presented with something coming out through per vaginal for the past 2 years, along with urinary incontinence following Foley catheter insertion. On examination, she had grade uterine 4 (Baden-Walker halfway system) prolapses with grade 2 cystocele and a grade 1 enterocele, along with a bivalved urethra at 12 ‘O’ clock and 6 ‘O’ clock position starting close to the bladder neck and going up till the urethral meatus. Vaginal hysterectomy with anterior and posterior compartment repair along with urethral reconstruction was done as the patient wanted a definitive treatment. Results: The patient has been dry for the past 12 months post-surgery, along with no recurrence of prolapse. Conclusion: Urethral reconstruction can be performed with pelvic organ prolapse repair as a singlestage procedure with good outcomes.

Citation:

Bahuguna G, Kurkal N, Anand A, Gite VA, Jha N, Swain P. Urethral Reconstruction for an Iatrogenic Female Urethral Rupture Following Foley Catheterization with Pelvic Organ Prolapse Repair: A Case Report and a Review of Literature. Ann Clin Case Rep. 2022; 7: 2259..

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