Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report
Abstract Background To our knowledge, no previous case report explicitly shows that urethral catheter misplacement in the vagina cannot be ruled out even if urinary outflow is observed during catheterization. Case presentation A 70-year-old female underwent urethral catheterization during induction...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-025-00776-x |
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| author | Hisashi Shio Takao Setsu Tomonobu Takagaki Hiroshi Adachi Makoto Kiuchi Hideyuki Tsubokura |
| author_facet | Hisashi Shio Takao Setsu Tomonobu Takagaki Hiroshi Adachi Makoto Kiuchi Hideyuki Tsubokura |
| author_sort | Hisashi Shio |
| collection | DOAJ |
| description | Abstract Background To our knowledge, no previous case report explicitly shows that urethral catheter misplacement in the vagina cannot be ruled out even if urinary outflow is observed during catheterization. Case presentation A 70-year-old female underwent urethral catheterization during induction of general anesthesia for hemiarthroplasty using a bipolar hip prosthesis. Although the urethral meatus could not be visualized, urinary outflow was observed. However, drainage subsequently stopped, and the catheter was eventually found to have been misplaced in the vagina. Detection of the catheter misplacement was delayed because of the assumption that no urinary outflow occurs when the catheter is misplaced in the vagina. Conclusion Even if urinary outflow is observed during female urethral catheterization, catheter misplacement in the vagina cannot be ruled out; therefore, catheter misplacement in the vagina must be verified in patients for whom the urethral meatus cannot be identified for catheter insertion or when drainage stops. |
| format | Article |
| id | doaj-art-110bed30f2a44e9f8b92e79256d27a24 |
| institution | OA Journals |
| issn | 2363-9024 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-110bed30f2a44e9f8b92e79256d27a242025-08-20T02:16:45ZengSpringerOpenJA Clinical Reports2363-90242025-02-011111510.1186/s40981-025-00776-xDelay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case reportHisashi Shio0Takao Setsu1Tomonobu Takagaki2Hiroshi Adachi3Makoto Kiuchi4Hideyuki Tsubokura5Department of Anesthesiology, Tottori Red Cross HospitalDepartment of Anesthesiology, Tottori Red Cross HospitalDepartment of Anesthesiology, Tottori Red Cross HospitalDepartment of Anesthesiology, Tottori Red Cross HospitalDepartment of Obstetrics and Gynecology, Tottori Red Cross HospitalDepartment of Anesthesiology, Tottori Red Cross HospitalAbstract Background To our knowledge, no previous case report explicitly shows that urethral catheter misplacement in the vagina cannot be ruled out even if urinary outflow is observed during catheterization. Case presentation A 70-year-old female underwent urethral catheterization during induction of general anesthesia for hemiarthroplasty using a bipolar hip prosthesis. Although the urethral meatus could not be visualized, urinary outflow was observed. However, drainage subsequently stopped, and the catheter was eventually found to have been misplaced in the vagina. Detection of the catheter misplacement was delayed because of the assumption that no urinary outflow occurs when the catheter is misplaced in the vagina. Conclusion Even if urinary outflow is observed during female urethral catheterization, catheter misplacement in the vagina cannot be ruled out; therefore, catheter misplacement in the vagina must be verified in patients for whom the urethral meatus cannot be identified for catheter insertion or when drainage stops.https://doi.org/10.1186/s40981-025-00776-xOlder adult patientFemale urethral catheterizationDifficult urethral catheterizationUretheral catheter misplacement in the vaginaVesicovaginal refluxUrinary incontinence |
| spellingShingle | Hisashi Shio Takao Setsu Tomonobu Takagaki Hiroshi Adachi Makoto Kiuchi Hideyuki Tsubokura Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report JA Clinical Reports Older adult patient Female urethral catheterization Difficult urethral catheterization Uretheral catheter misplacement in the vagina Vesicovaginal reflux Urinary incontinence |
| title | Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report |
| title_full | Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report |
| title_fullStr | Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report |
| title_full_unstemmed | Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report |
| title_short | Delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization: a case report |
| title_sort | delay in detection of urethral catheter misplacement in the vagina of an older adult patient due to urinary outflow during catheterization a case report |
| topic | Older adult patient Female urethral catheterization Difficult urethral catheterization Uretheral catheter misplacement in the vagina Vesicovaginal reflux Urinary incontinence |
| url | https://doi.org/10.1186/s40981-025-00776-x |
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