| Mr. Ibrahem/Suprapubic catheter | |
|---|---|
 A newly placed suprapubic catheter entering the abdomen just above the pubic bone | |
| Other names | Suprapubic cystostomy, vesicostomy, epicystostomy |
| Specialty | Urology, emergency medicine |
| Complications | Bleeding, bowel injury, infection, urine leakage[1] |
A suprapubic catheter (SPC) is a drainage tube placed into the urinary bladder just above the pubic symphysis.[1] This is generally done for urinary obstruction when other methods are not possible.[1] Other options may include urethral catheterization and intermittent catheterization.[1]
Before beginning it should be verified by ultrasound that the bladder is full.[1] The area is than shaved, sterilized, and frozen.[1] In the Seldinger technique, about two finger widths above the pubic bone a needle is inserted until urine returns.[1] A guidewire is than inserted through the needle and the needle removed.[1] A dilator and sheath is than passed over the wire after which the dilator and wire is removed.[1] A Foley catheter is than inserted through the sheath.[2] The procedure may also be done with an open technique or a trocar.[1]
After the procedure the Foley is inflated with 10 ml and some gentle traction is applied.[2] It is than secured in place.[1] Complications may include bleeding, bowel injury, infection, and urine leakage around the catheter site.[1] The procedure is done relatively frequently.[3] If a specific kit is not avaliable, a central line may be used.[2]
References edit
- ^ a b c d e f g h i j k l m n o Corder, CJ; LaGrange, CA (January 2021). "Suprapubic Bladder Catheterization". PMID 29489238.
{{cite journal}}: Cite journal requires|journal=(help) - ^ a b c d Roberts and Hedges' clinical procedures in emergency medicine and acute care (Seventh ed.). Philadelphia, PA: Elsevier Health Sciences. 2019. p. 1172. ISBN 9780323547949.
- ^ Jacob, P; Rai, BP; Todd, AW (September 2012). "Suprapubic catheter insertion using an ultrasound-guided technique and literature review". BJU International. 110 (6): 779–84. doi:10.1111/j.1464-410X.2011.10882.x. PMID 22257272.