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Ureteral Cannulation as a Complication of Urethral Catheterization
Bradley W. Anderson,Andrew C. Greenlund 대한비뇨의학회 2014 Investigative and Clinical Urology Vol.55 No.11
Urinary catheterization is a common procedure, particularly among patients with neurogenicbladder secondary to spinal cord injury. Urethral catheterization is associatedwith the well-recognized complications of catheter-associated urinary tract infectionsand limited genitourinary trauma. Unintentional ureteral cannulation represents arare complication of urethral catheterization and has been previously described in onlyeight cases within the literature. We describe two cases of aberrant ureteral cannulationinvolving two patients with quadriplegia. These cases along with prior reports identifythe spastic, insensate bladder and altered pelvic sensorium found in upper motor neuronsyndromes as major risk factors for ureteral cannulation with a urinary catheter.