suprapubic catheterization

suprapubic catheterization

An emergency procedure offering immediate relief to a patient with a full bladder and total obstruction to urinary outflow. Under local anaesthesia a TROCAR and surrounding CANNULA are passed directly through the abdominal wall in the mid line at a point about one third of the distance from the pubis to the navel. The cannula is pushed into the bladder and the trocar removed to that urine can flow out. In children an intravenous cannula can be used.
References in periodicals archive ?
Suprapubic catheterization was an option however, we felt the SP catheter might be too large for the small infant and be too invasive to complete without general anesthesia.
Chronic suprapubic catheterization may rarely give rise to SCC, and in the literature, there are few reported cases.
It is prudent to look for changes around the suprapubic cystostomy site in a patient on long-term suprapubic catheterization or who had a suprapubic cystostomy in the past.
Treatment: Endoscopic realignment either immediate or early (1-2 weeks) was the mainline of treatment, thereby avoiding suprapubic catheterization with short hospital stay and minimal morbidity and less long term complications.
Suprapubic catheterization complicated by bowel perforation.
Perforation of the ileum as a complication of suprapubic catheterization. Obstetrics & Gynecology, 62(5), 662-664.
Intermittent or suprapubic catheterization should be considered alternatives to indwelling urethral catheterization to reduce catheter-associated bacteriuria.
The disease is refractory to pharmacotherapy and often surgical interventions like tracheostomy, suprapubic catheterization are required.
Suprapubic catheterization is more comfortable and acceptable to the patient and may be associated with a lower incidence of CAUTI (32).
These cases highlight the variable degree of necrosis associated with these injuries with management including urinary diversion from the injured area with suprapubic catheterization. In many cases, nephrostomy tubes are utilized to preserve renal function and allow adequate drainage of the urinary tract as well as diverting antegrade drainage from the bladder.
Rarely, in the setting of chronic suprapubic catheterization, SCC may arise primarily from the suprapubic cystotomy tract.