Reliability of percutaneous suprapubic cystostomy catheter insertion and analysis of complications

Abstract

Aim: In this study, we aimed to evaluate the immediate and early period (30 days) complications in patients with percutaneous suprapubic cystostomy catheters (PSCC) inserted with two different techniques and investigate which technique is more reliable. Materials and Methods: The data of 50 patients with PSCC inserted between June 2016 and June 2020 were retrospectively analyzed. The patients were divided into two groups as Conventional (Group 1: 30 patients) and Ultrasonography (USG)-assisted (Group 2: 20 patients) PSCC insertion. The demographic data, indications, procedure technique, immediate and early period complications and final results of all patients were analyzed. Results: The mean age of the patients was calculated as 69.3 ± 17.8 years. The male: female ratio was 48:2. The most common indication of PSCC insertion was determined as urethral stricture (n: 23, 46%). The complication rate of all patients was calculated as 34% (immediate: 14%, early: 20%). The most common immediate complication was hematuria, while the most common early complication was urinary tract infection. No major complications or bowel injuries were observed in the patients. Catheter revision was performed in two patients in Group 1. In the early period, the number of complications was statistically significantly lower in Group 2. Discussion: Regardless of the technique, PSCC insertion is an effective and reliable method. The use of the USG-assisted technique should be preferred, where possible, to reduce complications.