Placement of Large Suprapubic Tube Using Peel-Away Introducer

Chiou, Rei K.; Morton, Jon J.; Engelsgjerd, Jeffrey S.; Mays, Spyrie

doi:10.1016/s0022-5347(01)67544-x

Cited by 15 publications

(6 citation statements)

References 5 publications

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“…4 PUC may also be contraindicated in acute prostatitis, prostatic abscess and acute urethritis due to potential risk of bacteremia and septicemia. In these patients, probably the suprapubic catheterization is safest, which is a surgically created percutaneous connection between urinary bladder and exterior to relieve distended bladder In our study, 33.33% (10) patients had urethral stricture, 33.33% (10) BPH, 13%(4) urethral rupture, 3.33%(1) clot retention, 6.66% (2) neurogenic bladder, 3.33%(1) Foley's retention and 6.66(2) posttraumatic catheterization in C-SPC group compared to 43.33% (13) urethral stricture, 30% (9) BPH, 13.33% (4) urethral stone, 3.33% (1) urethral rupture and equal number of Foley's retention, posttraumatic catheterization and urethral growth in US-SPC group. However, in the study by Asante EKA et al, 47.08% (201) patients had BPH, 32.88% (141) urethral stricture, 7.69% (33) urethral injury, 6.29% (27) prostate cancer, 1.86% (8) neurogenic bladder, 1.63% (7) clot retention, 0.93% (4) postprostatectomy bladder neck stenosis, 0.93% (4) meatal stenosis, 0.47% (2) recurrent UTI/severe urethritis and 0.3% (1) had cervix cancer.…”

Section: Discussionmentioning

confidence: 54%

Comparative study of perioperative morbidities of the conventional and ultrasound-guided suprapubic catheterization in the patients of urinary retention during emergency

Chandra¹,

Parmar

Wasnik³

2019

Int J Res Med Sci

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Background: Urinary retention is one of the common urological emergencies and conventional ‘blind’ SPC frequently used comfortable as well superior procedure for patients. During conventional SPC, the distended bladder is identified by palpation or percussion without proper attention to intervening bowel segment and other structures. However, the recently published data suggests that if, ultrasound is used during SPC, and it identifies not only bladder but also intervening bowel segment which complications. Therefore, the objective of this study was to assess and compare the perioperative complications of both methods.Methods: This prospective study was conducted between years November’2017 to June’2019. Sixty patients (n=60) of urinary retention were randomized to undergo ultrasound guided or conventional SPC procedures. Patients were divided into two equal groups of 30 patients in US-SPC (Group-A) and C-SPC (Group-B). After either SPC, the patients were closely observed for development of complications.Results: Overall, the patients had mean age of 53.87+21.418 and 53.87+21.418 years in C-SPC and US-SPC group, respectively. Mean operative time and subsequent initial urine drainage were almost equal in both groups. However, in C-SPC group, 5(16.7%) patients developed complications in the form of 03 misplaced catheters outside bladder, 01 into retro pubic space and another 01 into rectum. All patients in Group-A required ultrasound guided revision of SPC compared to none in Group-B.Conclusion: Overall, the ultrasound-guided SPC (US-SPC) is safer procedure compared to conventional ‘blind’ C-SPC in relieving urinary retention in emergency, thus it should be recommended procedure whenever need arise for SPC procedure.

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Section: Discussionmentioning

confidence: 54%

Comparative study of perioperative morbidities of the conventional and ultrasound-guided suprapubic catheterization in the patients of urinary retention during emergency

Chandra¹,

Parmar

Wasnik³

2019

Int J Res Med Sci

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“…2 Suprapubic catheter placement by outside-in approach like percutaneous trocar method requires bladder distension, which is difficult in few patients of large vesicovaginal or urethrovaginal fistula, whereas the optical urethrotome method described does not require distension of the bladder. 3,10 The outside-in approach of suprapubic catheter placement may have potential problems like difficulty in hitting the bladder leading to ex-travesical deployment, difficulty in controlling the depth of penetration, and injury to intraabdominal viscera. The chance of injury to the intraabdominal viscera is decreased by approximation of the bladder wall to the anterior abdominal wall during the inside-out approach by optical urethrotome.…”

Section: Discussionmentioning

confidence: 99%

Suprapubic Cystostomy Using Optical Urethrotome in Female Patients

Sawant

Patwardhan²,

Attar³

et al. 2009

Journal of Endourology

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“…Interventional radiologists or urologists typically perform this procedure, but it also may be performed by an emergency physician if these specialists are not available. Depending on community practice style and availability of the specialists, percutaneous suprapubic catheterization with ultrasound guidance may be easily performed at the bedside 11,14,22,25…”

Section: Initial Catheterizationmentioning

confidence: 99%

Current Trends in the Management of Difficult Urinary Catherizations

Willette¹,

Coffield²

2012

WestJEM

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Routine urinary catheter placement may cause trauma and poses a risk of infection. Male catheterization, in particular, can be difficult, especially in patients with enlarged prostate glands or other potentially obstructive conditions in the lower urinary tract. Solutions to problematic urinary catheterization are not well known and when difficult catheterization occurs, the risk of failed catheterization and concomitant complications increase. Repeated and unsuccessful attempts at urinary catheterization induce stress and pain for the patient, injury to the urethra, potential urethral stricture requiring surgical reconstruction, and problematic subsequent catheterization. Improper insertion of catheters also can significantly increase healthcare costs due to added days of hospitalization, increased interventions, and increased complexity of follow-up evaluations. Improved techniques for catheter placement are essential for all healthcare personnel involved in the management of the patient with acute urinary retention, including attending emergency physicians who often are the first physicians to encounter such patients. Best practice methods for blind catheter placement are summarized in this review. In addition, for progressive clinical practice, an algorithm for the management of difficult urinary catheterizations that incorporates technology enabling direct visualization of the urethra during catheter insertion is presented. This algorithm will aid healthcare personnel in decision making and has the potential to improve quality of care of patients.

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Placement of Large Suprapubic Tube Using Peel-Away Introducer

Cited by 15 publications

References 5 publications

Comparative study of perioperative morbidities of the conventional and ultrasound-guided suprapubic catheterization in the patients of urinary retention during emergency

Comparative study of perioperative morbidities of the conventional and ultrasound-guided suprapubic catheterization in the patients of urinary retention during emergency

Suprapubic Cystostomy Using Optical Urethrotome in Female Patients

Current Trends in the Management of Difficult Urinary Catherizations

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