What are the indications for suprapubic catheter?

What are the indications for suprapubic catheter?

Suprapubic catheterization is indicated (when transurethral catheterization is contraindicated or technically not possible) to relieve urinary retention due to the following conditions:

• Urethral injuries.
• Urethral obstruction.
• Bladder neck masses.
• Benign prostatic hypertrophy (BPH)
• Prostate cancer.

What are indications for catheterization?

Appropriate indications for urinary catheters include:

• Perioperative use in selected surgeries.
• Acute urinary retention or obstruction.
• Hospice/comfort care/palliative care.
• Accurate measurement of urinary output in critically ill patients.
• Required strict immobilization for trauma or surgery.

What are the advantages of a suprapubic catheterization?

Advantages of suprapubic catheters

• There is no risk of urethral trauma, necrosis or catheter-induced urethritis and urethral strictures;
• Greater comfort, particularly for patients who are chair bound as the catheter is not positioned between their legs and there is less risk of sitting on it;

What type of catheter is used for suprapubic?

An indwelling catheter is a type of internal urinary catheter, meaning that it resides entirely inside of the bladder. These include urethral or suprapubic catheter and are most commonly referred to as Foley catheters. These catheters are most commonly inserted into the bladder through your urethra.

Which catheters can be used for a suprapubic Cystostomy?

If the need for catheterization is temporary, the capacity of the bladder is small, or there are operative scars in the lower abdomen (risk of bowel perforation at insertion in cystostomy) a thin silicone or PVC catheter should be used.

How is suprapubic catheter inserted?

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder. It is inserted into the bladder through a cut in the tummy, a few inches below the navel (tummy button). This is done under a local anaesthetic or a light general anaesthetic.

How do you perform a suprapubic catheterization?

In this procedure, your doctor:

1. Prepares the bladder area with iodine and cleaning solution.
2. Locates your bladder by gently feeling around the area.
3. Uses local anesthesia to numb the area.
4. Inserts a catheter using a Stamey device.
5. Removes the obturator once the catheter is in your bladder.