Decreasing Suprapubic Tube-Related Injuries: Results of Case Series and Comprehensive Literature Review

Tompkins, Andrew J.; Travis, Michelle; Watne, Reed E; Lasser, Michael; Ellsworth, Pamela

doi:10.7257/1053-816x.2014.34.1.9

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…While there are surgical risks associated with SP catheter placement, the SP catheter permits better drainage while reducing risks of urinary tract infection, fistula formation, and urethral erosion associated with chronic indwelling UCs [ 11 ]. The risk of bowel injury with SP catheter placement can be further minimized by placing the patient in Trendelenburg positioning, maximally pre-filling the bladder before inserting the SP catheter trocar (unless contraindicated), and using image-guided techniques [ 12 ]. These findings further support the use of SP catheters over UCs in patients with a chronic neurogenic bladder due to spinal cord injury, who are sometimes managed long-term with a UC [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bladder Drainage via Suprapubic and Urethral Catheters: Which Drains More Completely and Why?

Naser-Tavakolian,

Masterson,

Dallmer

et al. 2023

J Surg Res

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Background Reconstructive urologists often place both a urethral and suprapubic catheter intraoperatively to prevent extravasation of undrained urine across anastomosis sutures. As no consensus exists on which catheter drains the bladder more completely, many surgeons leave one catheter to gravity drainage and cap the other postoperatively. We sought to identify differences in catheter urine outflow during dual bladder drainage with suprapubic and urethral catheters in postoperative urology patients. Methods Urine output (UOP) from transgender men who underwent Stage II Phalloplasty with urethral lengthening was retrospectively reviewed. Both 16 French urethral and suprapubic catheters were placed to gravity drainage postoperatively. Urine output from each catheter was recorded separately, twice daily. Mixed model regression modeling tested for differences in urine output by time of day (day/night) and activity status (Bedrest: Postop Day 0–2, Ambulatory: Postop Day 3+). Results The aggregate number of 12-hour shift urine output observations was 250 (125 for urethral and 125 for suprapubic catheters) across 14 inpatients. Suprapubic catheters had a mean 410 ml higher output than urethral catheters per 12-hour shift (p=0.002; 95% CI: 185, 636 ml). During daytime, Suprapubic catheters demonstrated higher UOP than urethral catheters per 12-hour shift (Estimated Difference: 464 ml; p=0.002; 95% CI: 211, 718 ml). During nighttime, a similar phenomenon was observed (Estimated Difference: 356 ml; p=0.009; 95% CI: 104, 606 ml). When comparing mean UOP from each catheter during the Bedrest Phase, suprapubic catheters averaged an estimated 295 ml higher UOP compared to urethral catheters per 12-hour shift with a trend toward statistical significance (p=0.052; 95% CI −3, 594 ml). During the Ambulatory Phase, mean suprapubic catheter UOP was an estimated 472 ml higher than urethral catheters per 12-hour shift (p=0.009; 95% CI 142, 802 ml). Conclusions Simultaneous bladder drainage with urethral and suprapubic catheters shows greater drainage from the suprapubic catheter (35% vs 65%). When using two catheters, both can be placed to gravity to maximize bladder drainage as the suprapubic catheter can drain residual urine not adequately drained by the urethral catheter.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Bladder Drainage via Suprapubic and Urethral Catheters: Which Drains More Completely and Why?

Naser-Tavakolian,

Masterson,

Dallmer

et al. 2023

J Surg Res

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“…They used an over guidewire method with the help of a transurethral Bougie guide in females with vesicovaginal fistula. Tompkins et al presented an algorithm to contribute to the selection of open, percutaneous, or image-guided methods for suprapubic catheter placement 20. Using a pediatric size (8–10 F), suprapubic catheter may be another option but there is not enough evidence.…”

Section: Discussionmentioning

confidence: 99%

Using central venous catheter for suprapubic catheterization in cardiac surgery

Bilehjani

Fakhari

2017

RRU

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Suprapubic catheterization is an alternative method for urinary drainage that is used when transurethral catheterization fails. Traditionally, inserted large-bore suprapubic catheters may cause fatal complications. During the past decade, we used a small central venous catheter (CVC) suprapubicly in 16 male patients for the purpose of urinary drainage, when transurethral catheterization failed. The procedure is performed in no more than 10 minutes. Success rate was 100% and this approach did not lead to any complications. In conclusion, placing a CVC for suprapubic drainage is a safe method with a high success rate and we recommend it in patients with failed transurethral catheterization after a few attempts (2–3 attempts).

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Suprapubic versus transurethral bladder drainage following reconstructive pelvic surgery: a comparison of patient satisfaction and quality of life

Takase-Sanchez¹,

Thompson

Hale

et al. 2016

Int Urogynecol J

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Decreasing Suprapubic Tube-Related Injuries: Results of Case Series and Comprehensive Literature Review

Cited by 4 publications

References 16 publications

Simultaneous Bladder Drainage via Suprapubic and Urethral Catheters: Which Drains More Completely and Why?

Simultaneous Bladder Drainage via Suprapubic and Urethral Catheters: Which Drains More Completely and Why?

Using central venous catheter for suprapubic catheterization in cardiac surgery

Suprapubic versus transurethral bladder drainage following reconstructive pelvic surgery: a comparison of patient satisfaction and quality of life

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