British Association of Urological Surgeons suprapubic catheter practice guidelines – revised

Abstract

To report the updated and revised British Association of Urological Surgeons (BAUS) guideline on indications, safe insertion and subsequent care of suprapubic catheters (SPCs). Methods The existing BAUS guideline on the insertion of SPCs was reviewed and has been updated in light of both activity and outcome data published since the original guideline was written. A systematic review of all new data from 2010 onwards was carried out. This updated guideline is largely evidence-based but, where evidence was lacking, is based on the consensus of expert opinion from members of the BAUS Section of Female, Neurological and Urodynamic Urology. Results Suprapubic catheterization is widely used and generally considered a safe procedure. There is, however, a small risk of serious complications including bowel injury. The BAUS has produced an updated consensus statement on SPC use with the aim of minimizing risks and establishing best practice. Areas for future research and development are also highlighted. This review has been commissioned and approved by the BAUS and the Section of Female, Neurological and Urodynamic Urology. Conclusions While SPC insertion is generally regarded as a safe procedure, the risk of serious morbidity and death must always be considered and outlined to patients. These revised guidelines should assist in minimizing the morbidity associated with SPC usage.

A rare complication of suprapubic catheterisation with obstruction and significant migration into a ureter

“…The British association of urological surgeons recommend for this complications to deflate the balloon, then withdrawal of the catheter into the bladder with consideration to be completed under vision. 5 …”

Multiple system atrophy

“…Although low level evidence suggests that bacteriuria is reduced, there is no evidence that they cause fewer infections and there is a possibility of urethral leakage. 31 on March 27, 2023 by guest. Protected by copyright.…”

“…Thus, we generally recommend suprapubic catheters to our patients. Although low level evidence suggests that bacteriuria is reduced, there is no evidence that they cause fewer infections and there is a possibility of urethral leakage 31…”

A novel magnetic compression technique for cystostomy in rabbits

“…As the bladder is an interperitoneal viscera, the anterior wall of the bladder is covered with membrane in some patients even when the bladder is full. Therefore, suprapubic cystostomy entails a risk of damage to the peritoneum and abdominal contents (bowel, vagina, uterus) in addition to other complications such as hematuria and wound infection 6 .…”