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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pneumaturia After Catheter Insertion Procedure

I am female and have pneumaturia (air in my bladder) after I had a very difficult catheter insertion for a procedure I had done. I am currently without other symptoms (pain, fever, etc) but I ve had pneumaturia once before and it led to an emergency situation (sepsis) which I was in hospital for almost two weeks. Should I seek treatment immediately or can this resovle on its own. I do not want to risk getting a more serious infection.
Tue, 25 Apr 2017
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Urologist,  's  Response
Hello madam and welcome to HCM..
I thank you for posting your query here and I'm definitely going to help you out..

I am really sorry to hear this about your bladder problem..
I being a surgeon, we encounter so many such cases day in and day out..
I read your question completely and have understood it well enough..

I'm not scaring you, but please don't take this lightly...
And what you are thinking is not correct..
Pneumaturia is always a concern to be worried.

I will analyze all your points and provide necessary explanation..

1. Difficult catheterisation and Pneumaturia.
How much ever difficult, generally catheterisation should not cause Pneumaturia.
Or, persistent Pneumaturia as you say.
There is some pathology and we have to find out..

2. You should seek medical attention as early as possible..
Pneumaturia is not normal and going by your history, even if there was small amount of gas going into bladder during difficult catheterisation, it should have resolved by now.

3. Believe me, it's not as simple as you think..
Following are few of the causes..

4. There is abnormal connection between colon or bowel and bladder in most of the times.
Gas or flatus produced in colon goes into the bladder and passed out through Urethra as Pneumaturia.
Most likely causes are
A. Iatrogenic causes, during pelvic, urological surgery.
B. Tuberculosis bladder
C. Malignancy
D. Radiation induced
E. Pyelonephritis

5. Please get these done immediately..

A. Cystoscopy
B. Barium enema..

Later we can plan, based on the reports..
Hope this helps you, and in case you need any further assistance, please let me know.
Take care and God bless.
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Suggest Treatment For Pneumaturia After Catheter Insertion Procedure

Hello madam and welcome to HCM.. I thank you for posting your query here and I m definitely going to help you out.. I am really sorry to hear this about your bladder problem.. I being a surgeon, we encounter so many such cases day in and day out.. I read your question completely and have understood it well enough.. I m not scaring you, but please don t take this lightly... And what you are thinking is not correct.. Pneumaturia is always a concern to be worried. I will analyze all your points and provide necessary explanation.. 1. Difficult catheterisation and Pneumaturia. How much ever difficult, generally catheterisation should not cause Pneumaturia. Or, persistent Pneumaturia as you say. There is some pathology and we have to find out.. 2. You should seek medical attention as early as possible.. Pneumaturia is not normal and going by your history, even if there was small amount of gas going into bladder during difficult catheterisation, it should have resolved by now. 3. Believe me, it s not as simple as you think.. Following are few of the causes.. 4. There is abnormal connection between colon or bowel and bladder in most of the times. Gas or flatus produced in colon goes into the bladder and passed out through Urethra as Pneumaturia. Most likely causes are A. Iatrogenic causes, during pelvic, urological surgery. B. Tuberculosis bladder C. Malignancy D. Radiation induced E. Pyelonephritis 5. Please get these done immediately.. A. Cystoscopy B. Barium enema.. Later we can plan, based on the reports.. Hope this helps you, and in case you need any further assistance, please let me know. Take care and God bless.