Transurethral Bougie-guided Placement of Suprapubic Catheter Over Guide Wire Monorail in Females: A Novel Technique

Gupta, Piyush; Dalela, Divakar; Srinivas, Abburi; Bhaskar, Ved; Govil, Tuhina; Goel, Apul; Sankhwar, Satya Narayan

doi:10.1016/j.urology.2016.05.034

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Sheriff et al reviewed 185 cases and identified 2.7% incidence of bowel perforation, with one fatal outcome,17 but the National Patient Safety Agency placed the figure at 0.15% 18. Recently, Dalela et al introduced a new method of suprapubic catheter placement 19. They used an over guidewire method with the help of a transurethral Bougie guide in females with vesicovaginal fistula.…”

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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Section: Discussionmentioning

confidence: 99%

Using central venous catheter for suprapubic catheterization in cardiac surgery

Bilehjani

Fakhari

2017

RRU

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“…The approach most frequently implemented involves the use of per-urethral catheterization. Concurrent suprapubic cystostomy (SPC) is posited as an additional safety measure in case of a malfunction in the urethral catheter, as posited by Dalela et al (2016). However, only a handful of individuals have favored suprapubic diversion alone, as evidenced by existing literature (Shetty et al, 2022;Gedik et al, 2015).…”

Section: Urinary Diversion After Repair Of Female Genito-urinary Fistulamentioning

confidence: 99%

Current Trends and Controversies on Female Genitourinary Fistula: A Review Article

Fehintola,

Ajiboye,

Foyeke

et al. 2023

GJHS

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Female genitourinary fistula (FGF) is an atypical connection between the female genitourinary system and the urinary tract. The abovementioned issue presents a dire public health concern and significantly affects the affected individuals’ quality of life. The classification of fistulae arising from the genitourinary tract encompasses a range of types, including vesicovaginal (VVF), rectovaginal (RVF), uterovesical (UVF), and urinary fistula, with the particular manifestation dependent upon the site of perforation. The development of consistent guidelines for FGF care poses a challenge due to the variability of clinical conditions. The selection of an appropriate treatment protocol is contingent upon the surgeon conducting the treatment and the resources at their disposal. In the medical field, it is advisable for surgeons to contemplate implementing conservative treatment methods, particularly in patients thoroughly assessed and deemed suitable for this approach. Delayed repair of FGF results in superior outcomes compared to early repair. The transvaginal repair approach is favored due to its advantageous features. Anticholinergic pharmacotherapeutics may be employed during the postoperative phase to enhance the therapeutic course of the bladder. Healthcare providers can refer their patients to a tertiary care facility with advanced resources and specialized expertise, provided the necessary facilities are available. Surgeons undergoing training and adapting to emerging trends are advised to enhance their proficiency in repairing vesicovaginal fistula (VVF).

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“…However, concurrent suprapubic cystostomy (SPC) is claimed to provide an additional safety when the urethral catheter malfunctions. [26] Few have preferred suprapubic diversion alone. [27] Dalela et al have described a unique method of placing a suprapubic cystostomy in patients with VVF.…”

Section: Urinary Diversion After Repair Of Vesicovaginal Fistulamentioning

confidence: 99%

“…[27] Dalela et al have described a unique method of placing a suprapubic cystostomy in patients with VVF. [26] This routine practice of keeping a SPC has been questioned as it does not improve the success rates of the surgical repair. [28] The duration of urinary drainage after repair is also debatable.…”

Section: Urinary Diversion After Repair Of Vesicovaginal Fistulamentioning

confidence: 99%

Vesicovaginal fistula: Review and recent trends

Rajaian¹,

Murugavaithianathan²,

Panda³

2019

Indian J Urol

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Vesicovaginal fistula (VVF) is an abnormal communication between the bladder and the vagina. Prompt diagnosis and timely repair are essential for successful management of these cases. As the clinical scenario is variable, it is difficult to frame uniform guidelines for the management of VVF. Hence, the management protocol is dependent on the treating surgeon and the available resources. Conservative methods should be used in carefully selected patients. Delayed repair is better than the early repair of VVF. Transvaginal route for repair is preferred as it has low morbidity, higher success rates, and minimal complications. Anticholinergics should be used in the postoperative period for better chance of bladder healing. When facilities are available, all the patients may be referred to a tertiary care center where expertise and advanced resources are available. Trained surgeons adapting the new trends should refine the art of VVF repair.

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Transurethral Bougie-guided Placement of Suprapubic Catheter Over Guide Wire Monorail in Females: A Novel Technique

Cited by 3 publications

References 16 publications

Using central venous catheter for suprapubic catheterization in cardiac surgery

Using central venous catheter for suprapubic catheterization in cardiac surgery

Current Trends and Controversies on Female Genitourinary Fistula: A Review Article

Vesicovaginal fistula: Review and recent trends

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