Safety and efficacy of ultrasound-guided percutaneous suprapubic cystostomy in resource-poor setting: A 7-year review

Muhammad, Abubakar Sadiq; Agwu, Ngwobia Peter; Abdulwahab-Ahmed, Abdullahi; Khalid, Abdullahi; Mungadi, Ismaila Arzika

doi:10.4103/ua.ua_104_17

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…14 Muhammad et al, reviewed 07 years complications of ultrasound guided SPC and reported stoma bleeding and hematuria in 01 (0.7%) patient and 02 (1.5%) required revision of SPC due to catheter displacement. 15 However, in our study, 05 (16.7%) patients developed complication in C-SPC group, which needed their SPC revision (pvalue <0.019) and only single attempt for SPC was successful in US-SPC group and no patients required SPC revision or developed complications such as hematuria or stoma bleeding.…”

Section: Discussioncontrasting

confidence: 52%

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: Discussioncontrasting

confidence: 52%

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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“…No complication was detected in any patient in the immediate and 2-week follow-up [3]. In another study, it was reported that the USG-assisted technique was simple, safe, effective and associated with minimal complications [8]. In two studies comparing direct blind and USG-assisted techniques in the literature, the ultrasonography procedure was found to be safer, which is consistent with our study [5,6].…”

Section: Discussionsupporting

confidence: 89%

“…Causes of urinary retention include benign prostatic hyperplasia (BPH), urethral stricture, prostate cancer, clot retention, stone and neurological bladder [7]. In two studies reported in the literature, urethral stricture and BPH were determined as the most common causes of urinary retention in patients with PSCC, respectively, and there was only one female patient in both study populations [5,8]. Similarly, the most common etiological factor in our series was urethral stricture, and the second was BPH.…”

Section: Discussionsupporting

confidence: 55%

Reliability of percutaneous suprapubic cystostomy catheter insertion and analysis of complications

Seker,

Akkas,

Bozkurt

et al. 2021

Ann Clin Anal Med

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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.

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“…After filling the bladder, the whole body was placed in 30° Trendelenburg position. Subsequently, color Doppler ultrasound [7] was used to select the appropriate puncture point on the pubic symphysis and confirm; there was no intestinal canal or vasculardense area in the puncture area. For patients with benign prostatic hyperplasia, it was necessary to confirm that there was no hyperplastic prostate tissue in the puncture area.…”

Section: Surgery Techniquesmentioning

confidence: 99%

Application of Percutaneous Holmium Laser Lithotripsy in the Treatment of Bladder Calculi with Lower Urinary Tract Obstruction or Pelvic Joint Disease

Yang¹,

Huang²,

Cao³

et al. 2021

Urol Int

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Objective: The aim was to summarize the experience of percutaneous holmium laser lithotripsy in the treatment of bladder calculi with lower urinary tract obstruction or pelvic joint disease in our hospital, explore its efficacy and safety, and improve the minimally invasive surgical technique for bladder calculi. Methods: The clinical data of 61 patients with bladder calculi combined with lower urinary tract obstructive diseases, including urethral stricture, benign prostatic hyperplasia, and bladder neck contracture or pelvic joint diseases in our hospital from 2017 to 2019 were retrospectively analyzed. All patients with bladder stones measuring 1.5–9 cm were placed in supine or lithotomy position. B-scan was conducted to locate the puncture above the pubic symphysis, establishing a 16–30 Fr bladder channel, and Lumenis holmium laser lithotripsy was subsequently performed through a Li Xun Nephroscope. The crushed stones were flushed out through the percutaneous bladder channel or taken out with foreign body forceps. After surgery, the cystostomy tube was indwelled for 3 days. Results: All the 61 cases were operated successfully with an average lithotripsy time of 25 min, and there was no conversion to open surgery. Postoperative reexamination showed neither residual calculi nor complications such as severe infection, massive hemorrhage, and intestinal injury. Conclusion: Percutaneous holmium laser lithotripsy is an improved minimally invasive surgical technique for the treatment of bladder calculi with the advantages of clear surgical field, high stone removal efficiency, less trauma, low-pressure bladder perfusion, and low incidence of accessory injury and infection. For patients with lower urinary tract obstructive disease resulting in obstruction of transurethral surgery and patients with pelvic joint disease resulting in difficult lithotomy position placement, this procedure is more advantageous than transurethral surgery. It is also suitable for bladder calculus with a long diameter >5 cm or multiple calculi.

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Safety and efficacy of ultrasound-guided percutaneous suprapubic cystostomy in resource-poor setting: A 7-year review

Cited by 9 publications

References 10 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

Reliability of percutaneous suprapubic cystostomy catheter insertion and analysis of complications

Application of Percutaneous Holmium Laser Lithotripsy in the Treatment of Bladder Calculi with Lower Urinary Tract Obstruction or Pelvic Joint Disease

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