Suprapubic cystostomy

Suprapubic cystostomy is a surgical procedure that creates an opening in the urinary bladder and the abdominal wall to allow for urine drainage. This procedure is typically performed when a patient is unable to urinate naturally due to a blockage or injury.

Indications

Suprapubic cystostomy is indicated in cases where the patient has a blockage in the lower urinary tract, such as urethral stricture, prostate enlargement, or bladder neck obstruction. It may also be performed in patients with neurogenic bladder disorders, such as spinal cord injury or multiple sclerosis, where the nerves controlling the bladder are damaged.

Procedure

The procedure is performed under general or spinal anesthesia. The surgeon makes a small incision in the lower abdomen, just above the pubic bone. The bladder is then located and a catheter is inserted through the incision into the bladder. The catheter is secured in place and the incision is closed with stitches.

Complications

Possible complications of suprapubic cystostomy include infection, bleeding, bladder injury, and catheter blockage. Long-term complications may include bladder stones, recurrent urinary tract infections, and changes in bladder function.

Aftercare

After the procedure, the patient will need to regularly clean the catheter and the area around it to prevent infection. The catheter will need to be changed every 4-6 weeks.

See also

• Cystostomy
• Urinary catheterization
• Urinary tract infection

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