suprapubic catheter

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suprapubic catheter

Etymology: L, supra + pubis + Gk, katheter, a thing lowered into
a urinary bladder catheter inserted through the skin about 1 inch above the symphysis pubis. It is inserted under a general or local anesthetic. It is used for closed drainage and may be left in place for a time, sutured to the abdominal skin. Benefits include a lower incidence of urinary tract infection, ease of voiding naturally when the catheter is clamped, and ease of ambulation. Disadvantages are that they must initially be inserted through the abdominal wall by a physician and the insertion site must be cleaned daily using sterile technique if the patient is in the hospital.
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Suprapubic catheter

su·pra·pu·bic cath·e·ter

(sū'pră-pyū'bik kath'ĕ-tĕr)
Urinary drainage device inserted into the bladder through the lower abdominal wall above the symphysis pubis. Indications include urethral trauma, vaginal surgery, or long-term catheterization.
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SUPRAPUBIC CATHETER: used to drain urine

suprapubic catheter

A catheter that permits direct urinary drainage from the bladder through the lower abdominal wall from a surgically fashioned opening located just above the pubic symphysis. Suprapubic urinary diversion is typically but not exclusively used as a temporary means of decompressing the bladder when the urethra is obstructed, e.g., in children with congenital deformities of the penis or urethra, or in adults with bladder outlet obstruction. When it is used for this purpose, it is considered a bridge before definitive surgery. See: suprapubic aspiration of urine; illustration

Patient care

The nurse observes for hemorrhage or prolonged hematuria and signs of local or systemic infection. Aseptic technique is used during dressing or equipment changes. Bladder irrigation is performed as prescribed. Medications, e.g., analgesics, antispasmodics, and bowel stimulants, are administered as prescribed. The patient's ability to micturate is evaluated. Intake and output are monitored and recorded. Fluids are forced unless otherwise restricted to ensure passage of dilute urine.

See also: catheter
References in periodicals archive ?
Minimising Risks of Suprapubic Catheter Insertion http://www.
Other post-operative teaching includes irrigation of the suprapubic catheter and dressing change.
While the text is unwaveringly superb, I am disappointed at the lack of accuracy and clarity of some of the illustrations, Particularly the line drawings, For instance, a digital block is illustrated as being administered at the level of the nail, Schiotz tonometry is shown with the patient upright rather than supine, and an illustration of a "spinal needle" for a suprapubic tap is obviously a suprapubic catheter over a trocar.
Urinary bladder was drained postoperatively with both suprapubic catheter and Foley's catheter per urethra.
A suprapubic catheter is not for everyone, but I can't think of any patients I've dealt with who were displeased with it once they got it," said Sue Butcher, APRN, a clinical nurse specialist and co-chair of the Oklahoma MS Society's Clinical Advisory Committee.
Failure of Foley catheter placement would then be an indication for a suprapubic catheter.
During open surgical repair 3 months after the hysterectomy, a suprapubic catheter was placed in the patient's bladder and a Foley catheter in her urethra.
In view of the size of the calculus, an open cystolithotomy with suprapubic catheter placement was performed.
Four patients had complications from concomitant surgeries, including one vaginal cuff dehiscence, one postoperative bladder obstruction due to a blood clot from a suprapubic catheter, one cystotomy and repair with extensive adhesiolysis, and one vaginotomy and repair with extensive endometriosis excision and cul-de-sac obliteration.