Description
A 65-year-old man had a history of acute urinary retention for which suprapubic catheterisation (SPC) was performed, following failed attempts at per urethral catheterisation by a local practitioner 3 months previously. He also had a history of hesitancy and intermittency for the past 1 year. He now presented with maggots discharging from the SPC site (figures 1 and 2). On taking a detailed history, he mentioned lack of local hygiene due to fear of dislodgement of SPC. There was no history of diabetes mellitus, surgical intervention or immune-compromised status.
Figure 1
Clinical photograph of the patient showing the suprapubic catheterisation site wound with maggots inside it.
Figure 2
Clinical photograph showing closer view of the suprapubic catheterisation site wound with maggots.
Per urethral catheterisation was attempted over a guide wire that was successful. Then his SPC was removed...
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