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Description:Background Unusual complications may be observed while changing a suprapubic catheter in patients with neuropathic bladder. When the balloon of Foley catheter was deflated, this patient developed massive bleeding per urethra. This patient developed increasing degree of pain in suprapubic region. Case presentation A British, Caucasian, male patient, born in with spina bifida and paraplaegia, had been managing neuropathic bladder with an indwelling urethral Foley catheter of size 20 French.