Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword by Professor Lord Ara Darzi KBE
- Preface
- Section 1 Perioperative care
- Section 2 Surgical emergencies
- Section 3 Surgical disease
- Section 4 Surgical oncology
- Section 5 Practical procedures, investigations and operations
- Urethral catheterization
- Percutaneous suprapubic catheterization
- Vascular access
- Arterial cannulation
- Central line insertion
- Lumbar puncture
- Airway
- Chest drain insertion
- Thoracocentesis
- Pericardiocentesis
- Nasogastric tubes
- Abdominal paracentesis
- Diagnostic peritoneal lavage (DPL)
- Rigid sigmoidoscopy
- Proctoscopy
- Oesophago-gastro-duodenoscopy (OGD)
- Endoscopic retrograde cholangio-pancreatography (ERCP)
- Colonoscopy and flexible sigmoidoscopy
- Local anaesthesia
- Regional nerve blocks
- Sutures
- Bowel anastomoses
- Skin grafts and flaps
- Principles of laparoscopy
- Section 6 Radiology
- Section 7 Clinical examination
- Appendices
- Index
Percutaneous suprapubic catheterization
Published online by Cambridge University Press: 06 July 2010
- Frontmatter
- Contents
- List of contributors
- Foreword by Professor Lord Ara Darzi KBE
- Preface
- Section 1 Perioperative care
- Section 2 Surgical emergencies
- Section 3 Surgical disease
- Section 4 Surgical oncology
- Section 5 Practical procedures, investigations and operations
- Urethral catheterization
- Percutaneous suprapubic catheterization
- Vascular access
- Arterial cannulation
- Central line insertion
- Lumbar puncture
- Airway
- Chest drain insertion
- Thoracocentesis
- Pericardiocentesis
- Nasogastric tubes
- Abdominal paracentesis
- Diagnostic peritoneal lavage (DPL)
- Rigid sigmoidoscopy
- Proctoscopy
- Oesophago-gastro-duodenoscopy (OGD)
- Endoscopic retrograde cholangio-pancreatography (ERCP)
- Colonoscopy and flexible sigmoidoscopy
- Local anaesthesia
- Regional nerve blocks
- Sutures
- Bowel anastomoses
- Skin grafts and flaps
- Principles of laparoscopy
- Section 6 Radiology
- Section 7 Clinical examination
- Appendices
- Index
Summary
Introduction
There are two main types of percutaneous suprapubic catheters used in practice: the Bonanno suprapubic catheter system and Stamey-type suprapubic catheter. These catheters differ in their methods of insertion as described below; however the indications and contraindications are the same.
Indications
▪ Failure to pass urethral catheter
▪ Urethral stricture
▪ False passage
▪ Surgeon choice
▪ Acute prostatitis
▪ Traumatic urethral disruption
▪ Peri-urethral abscess
▪ Long-termcatheterization.
Contraindications
▪ Previous lowermidline incision
▪ Non-distended bladder
▪ Coagulopathy
▪ Pregnancy
▪ Carcinoma of the bladder
▪ Pelvic irradiation.
Equipment
▪ Suprapubic catheter set of choice
▪ Urine drainage bag
▪ Sterile preparation
▪ Local anaesthetic
▪ Suture material.
Clinical examination
Confirmthe presence of a bladder.
Inspect for scars.
If there is concern about the presence of a bladder an ultrasound scan can be performed or indeed used to guide the insertion.
Site of insertion of the suprapubic catheter is finger breadths above the symphysis pubis. If there is a previous midline scar, it is advocated that insertion should proceed under ultrasound guidance with the insertion site being 2–3 cm lateral to the incision (see Figure 124).
Technique: Bonanno
After fully informing the patient of the procedure and confirming the bladder on palpation, the patient is prepared and draped. Local anaesthetic is infiltrated into the skin and into the abdominal wall, and a small incision made in the skin.
The Bonanno catheter is prepared by straightening the catheter with the stylette in situ using a plastic sleeve.
- Type
- Chapter
- Information
- Hospital SurgeryFoundations in Surgical Practice, pp. 597 - 599Publisher: Cambridge University PressPrint publication year: 2009