Urethro-Rectal Perforation as a Complication of Foley Catheterization

Abstract

ABS TRACT Urethral catheterization is rarely associated with intestinal perforation. Urethro-rectal perforation as a complication of urethral instrumentation is rarely seen. Only one case of bladder and small bowel perforation as a complication of Foley catheterization has been reported. In patients with intestinal perforation, treatment usually consists of laparotomy and repair of perforation. In this report, we aimed to present a case of acute urethro-rectal perforation and management of it as a complication of urethral Foley catheterization. To our knowledge, this is the first documented acute urethro-rectal perforation during Foley catheterization. We think that endoscopic treatment is sufficient in early diagnosed cases without performing laparotomy. In addition, in patients who had previously undergone prostate or urethra operation, we think that the Foley catheter should not be forced and should be treated more carefully while placing the Foley.