Hamid et al1 present a very interesting article on misplaced suprapubic catheter in a spinal cord injury patient. These authors state that the insertion of a suprapubic catheter can be challenge even for an experienced urologist. We observed complications while changing suprapubic catheters in a few patients with neuropathic bladder.

There was difficulty in removing an all-silicone Bard Foley catheter (16 Fr) in a patient with traumatic paraplegia with suprapubic cystostomy. The problem was because of cuffing of the balloon following deflation of the balloon prior to removal. This patient had sensory level of T-6. Therefore, forcible removal of the suprapubic tube did not cause any discomfort to the patient; but there was minor bleeding, which subsided within 30 min. This patient did not wish to use another brand of Foley catheter, as he liked the translucent all-silicone Foley catheter.

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