A comparison of outcomes of transurethral versus suprapubic catheterization after Burch cystourethropexy

Cystoscopy for gynaecologists

“…However, there is evidence to suggest that there is no difference in morbidity whether transurethral or suprapubic catheters are used, although there is more pain associated with the former. 23 Longer-term suprapubic catheters are used in women with chronic retention (often with a neurological cause, for example multiple sclerosis) or those with debilitating incontinence who are unfit or unsuitable for surgery where all other means of therapy (including self-catheterisation) have failed or been considered.A combination of ultrasound guidance and flexible cystoscopy provides a safe alternative technique for suprapubic catheterisation under local anaesthetic, especially in difficult or medically unfit women and in those with acute retention. 24…”

Imaging-Guided Suprapubic Bladder Tube Insertion: Experience in the Care of 549 Patients

“…Bergman et al [3] found that suprapubic bladder tubes were associated with fewer urinary tract infections. Other studies [4,5] have shown that patients with transurethral catheters have significantly more visits to the hospital because of pain than do patients with suprapubic bladder tubes with no difference in follow-up findings on blood loss, postoperative morbidity, …”

“…A number of studies have found in favor of the suprapubic over the transurethral route for long-term bladder catheter drainage [1][2][3][4][5]. Two Cochrane review analyses of the advantages and disadvantages of alternative approaches to catheterization showed that use of a suprapubic bladder tube was associated with less bacteriuria, need for recatheterization, and discomfort than use of a transurethral catheter [1,2].…”

“…and length of hospital stay [4]. Sugimura et al [6] found that patients with spinal cord injury associated better quality of life with use of suprapubic bladder tubes.…”