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Suprapubic Catheter

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1. S-Cath System for suprapubic catheterisation

342: d924 McMeekin F, MacCormick A, MacDonagh R (2010) Introducing a new technique for suprapubic catheterisation. Continence UK 4: 47–9 Mohammed A, Khan A, Shergill I et al. (2008) A new model for suprapubic catheterization: the Mediplus Seldinger suprapubic catheter. Expert Review of Medical Devices 5: 705–7 National Patient Safety Agency (2009) Rapid Response Report NPSA/2009/RRR005: Minimising risks of suprapubic catheter insertion (adults only) [online; accessed 15 February 2016] NHS Choices (...) S-Cath System for suprapubic catheterisation S-Cath System for supr S-Cath System for suprapubic catheterisation apubic catheterisation Medtech innovation briefing Published: 10 June 2016 nice.org.uk/guidance/mib68 pathways Summary Summary The S-Cath System is intended for use in people for whom a suprapubic catheter is indicated, and differs from conventional suprapubic catheters because a guidewire (the Seldinger technique) is used for improved placement. The available evidence is of limited

2016 National Institute for Health and Clinical Excellence - Advice

2. Randomized controlled trial of silver-alloy-impregnated suprapubic catheters versus standard suprapubic catheters in assessing urinary tract infection rates in urogynecology patients. (Abstract)

Randomized controlled trial of silver-alloy-impregnated suprapubic catheters versus standard suprapubic catheters in assessing urinary tract infection rates in urogynecology patients. Catheter-associated urinary tract infections (UTI) are the most common health-care-related infections. We aimed to compare the UTI rate among women undergoing urogynecological procedures with a silver-alloy suprapubic catheter (SPC) and a standard SPC, and identify the risk factors predisposing patients

2018 International urogynecology journal Controlled trial quality: predicted high

3. Persistent urine leakage around a suprapubic catheter: the experience of a person with chronic tetraplegia Full Text available with Trip Pro

Persistent urine leakage around a suprapubic catheter: the experience of a person with chronic tetraplegia Persistent urine leakage after suprapubic cystostomy in tetraplegic subjects occurs due to shrinkage of the urinary bladder and bladder spasms. The patient's social life is adversely affected as clothes become wet, smelly, and require frequent changing, thus increasing the workload of carers.A 48-year-old male sustained C-4 complete (AIS:A) tetraplegia while swimming in 2007. Suprapubic (...) cystostomy was performed in 2009. From 2012, this patient had urine leakage around the suprapubic catheter, which became progressively more frequent. Propiverine, then oxybutynin tablets instead of propiverine, oxybutynin transdermal patches, and mirabegron in addition to oxybutynin were tried. An indwelling urethral catheter was used in addition to the suprapubic catheter to alleviate urine leakage when the bladder was undergoing spasms. This patient continued to have leakage around the suprapubic

2018 Spinal cord series and cases

4. Suprapubic bladder drainage and epidural catheters following abdominal surgery-A risk for urinary tract infections? Full Text available with Trip Pro

Suprapubic bladder drainage and epidural catheters following abdominal surgery-A risk for urinary tract infections? Epidural catheters are state of the art for postoperative analgesic in abdominal surgery. Due to neurolysis it can lead to postoperative urinary tract retention (POUR), which leads to prolonged bladder catheterization, which has an increased risk for urinary tract infections (UTI). Our aim was to identify the current perioperative management of urinary catheters and, second (...) , to identify the optimal time of suprapubic bladder catheter removal in regard to the removal of the epidural catheter.We sent a questionnaire to 102 German hospitals and analyzed the 83 received answers to evaluate the current handling of bladder drainage and epidural catheters. Then, we conducted a retrospective study including 501 patients, who received an epidural and suprapubic catheter after abdominal surgery at the University Hospital Würzburg. We divided the patients into three groups according

2019 PLoS ONE

5. Novel Use of Hydrodissection for the Insertion of Suprapubic Catheter Under Ultrasound Guidance. (Abstract)

Novel Use of Hydrodissection for the Insertion of Suprapubic Catheter Under Ultrasound Guidance. To find a method of safely inserting a suprapubic catheter (SPC) under local anesthetic and under ultrasound guidance in patients who may not be fit for a general anesthetic but also are seen to have bowel overlying the anterior bladder wall which obscures a safe route to the bladder.We used ultrasonography to visualize the bladder which was initially filled via the indwelling urethral catheter

2020 Urology

6. First Irish and tenth case of small bowel obstruction secondary to suprapubic catheterisation in the world. Case report and case review of a rare complication of suprapubic catheterisation Full Text available with Trip Pro

First Irish and tenth case of small bowel obstruction secondary to suprapubic catheterisation in the world. Case report and case review of a rare complication of suprapubic catheterisation Percutaneous Suprapubic urinary bladder catheterisation (SPC) is a common procedure performed in cases of urinary retention where attempt to pass urethral catheter has failed. However, the procedure requires meticulous precision, vigilance and sound knowledge of anatomy, to avoid grave complications. We (...) are reporting a very rare complication of Suprapubic catheterisation that is small bowel obstruction. Our case is first Irish and 10th global case of small bowel obstruction secondary to SPC.Aim of this study was to report this rare complication of the SPC in our patient who was 88 years old retired farmer presenting to emergency department with small bowel obstruction. In our case after clinical examination diagnosis was made with CT scan. Laparoscopy done and found that SPC passed through mesentery before

2017 International journal of surgery case reports

7. Intracerebral haemorrhage following uncontrolled autonomic dysreflexia post suprapubic catheter placement surgery Full Text available with Trip Pro

Intracerebral haemorrhage following uncontrolled autonomic dysreflexia post suprapubic catheter placement surgery We describe a case of intracerebral haemorrhage (ICH) following uncontrolled episodes of autonomic dysreflexia (AD) within 24 h of a minor urological procedure.A 33-year-old active paraplegic patient T1 Association Impairment Scale A underwent an elective suprapubic catheter (SPC) placement for bladder management. The surgery was done under general anaesthesia and was uneventful

2017 Spinal cord series and cases

8. Suprapubic urinary catheter

( ) Suprapubic catheterisation must only be performed when absolutely necessary and be for the minimum possible time, usually three to 28 days. However, long-term use is suitable for some children ( ). Suprapubic catheters must always be managed using a non-touch technique ( ). It is recommended that all catheters and securing devices are latex free ( ). The child may experience discomfort from the catheter, even if it is the correct size and correctly positioned. Analgesia should be given as prescribed (...) Infection 65(1): 1-64. Reference 6: Sanders C (2001) Suprapubic catheterisation: Risk management . Paediatric Nursing 13(10): 14-18. Reference 7: Shah N, Shah J (1998) Percutaneous suprapubic catheterisation . Urology News 2 (5): 11-12. Reference 8: Parry MF, Grant B, Sestovic M (2013) Successful reduction in catheter-associated urinary tract infections: Focus on nurse-directed catheter removal. American Journal of Infection Control 41: 1178-1181. Reference 9: Woodward A (1997) Complications

2014 Publication 1593

9. What would a suprapubic catheter indwelling for 4 years be like? A case report. (Abstract)

What would a suprapubic catheter indwelling for 4 years be like? A case report. A 35-year-old male of 165 cm height and weight of 65 kg, had a suprapubic catheter indwelling for 4 years without replacement for urethral stricture. The catheter became gradually obstructed, and urine leaked out around the suprapubic catheter. A lumbar abdominal distension, an inferior abdominal mass and renal failure prompted him to seek medical attention in our hospital in September 2018. This clinical case

2019 Urology

10. Clinical evaluation of the multifunctional suprapubic catheter in patients requiring permanent suprapubic cystostomy: a prospective randomized trial in a single center. (Abstract)

Clinical evaluation of the multifunctional suprapubic catheter in patients requiring permanent suprapubic cystostomy: a prospective randomized trial in a single center. To assess the clinical effect of the multifunctional suprapubic catheter (MSC) on occurrence of cystospasm, catheter occlusion, the catheter-related urinary tract infection and remission of over-activity bladder, by comparing with the conventional suprapubic catheter (CSC) in patients with permanent suprapubic cystostomy.The (...) conventional suprapubic catheter usually presents with high incidence of catheter-associated complications.A prospective randomized clinical trial in a single-center.Between Jan 2014 and Jan 2015, a total of 91 consecutive patients with permanent suprapubic cystostomy were prospectively randomized into two groups: the MSC group (n = 43) and CSC group (n = 48).Our results showed that the total times of cystospasm in the MSC group were significantly less than that in the CSC group during the follow-up time

2017 Journal of clinical nursing Controlled trial quality: uncertain

11. Squamous Cell Carcinoma of Suprapubic Cystostomy Site in a Patient with Long-Term Suprapubic Urinary Catheter Full Text available with Trip Pro

Squamous Cell Carcinoma of Suprapubic Cystostomy Site in a Patient with Long-Term Suprapubic Urinary Catheter Patients with long-term suprapubic cystostomy can rarely develop squamous cell carcinoma (SCC) of the suprapubic cystostomy tract. In addition to the few reported cases in the literature, this paper reports a case of suprapubic cystostomy SCC in an 88-year-old man without bladder involvement. Vigilance about any abnormal lesion at the site of suprapubic cystostomy is important among

2017 Case reports in urology

12. A case report of squamous cell carcinoma in a suprapubic urinary catheter tract: surgical excision and simultaneous colostomy formation Full Text available with Trip Pro

A case report of squamous cell carcinoma in a suprapubic urinary catheter tract: surgical excision and simultaneous colostomy formation Squamous cell carcinoma (SCC) arising from a suprapubic cystostomy tract is a rare complication of long-term suprapubic catheterization (SPC). A 53-year-old man with paraplegia secondary to spina bifida presented with a painful granulomatous lesion around his SPC site that was being treated with silver nitrate cauterization in the community. Consequently, he (...) developed a sacral pressure sore due to reduced mobility from the pain. He also had increasing difficulties with defaecation secondary to his spina bifida. His sacral pressure sore was secondary to a cryptoglandular fistula with coccygeal osteomylelitis. Post-operative pathology revealed infiltrative SCC involving full thickness of the specimen from skin to the bladder wall with clear surgical margins. We describe the first case requiring a simultaneous suprapubic tract SCC excision and colostomy

2018 Journal of surgical case reports

13. Indwelling Urethral versus Suprapubic Catheters in Nursing Home Residents: Determining the Safest Option for Long-Term Use. (Abstract)

% less likely to have had antibiotics in the past 30 days (HR = 0.77; P = 0.02). Among residents catheterized ≥90 days, the mean number of MDROs isolated in the suprapubic group was significantly higher than in the urethral group (0.57 vs 0.44; P = 0.01). Ciprofloxacin-resistant Gram-negative bacilli were frequent in both groups.Residents with a suprapubic catheter may have fewer CAUTIs, less hospitalization and less antibiotic use, but are more likely colonized with MDROs.Published by Elsevier Ltd. (...) Indwelling Urethral versus Suprapubic Catheters in Nursing Home Residents: Determining the Safest Option for Long-Term Use. The incidence of infectious complications has not been previously compared for two types of common urinary catheters used in the long-term care setting: indwelling urethral catheters and suprapubic catheters.To compare catheter-associated urinary tract infection (CAUTI) rates and multidrug-resistant organism (MDRO) colonization between nursing home residents

2018 Journal of Hospital Infection

14. Suprapubic catheter placement through ileal mesentery causes mechanical small bowel obstruction six years later in a female patient with turners syndrome Full Text available with Trip Pro

Suprapubic catheter placement through ileal mesentery causes mechanical small bowel obstruction six years later in a female patient with turners syndrome Percutaneous suprapubic cystostomy (SPC) is a procedure performed to manage urinary retention when urethral catheterization is contraindicated or to improve the quality of life in cases such as neurogenic bladder. Although a simple procedure, it is associated with serious complications, increasing the morbidity and mortality. This case study (...) demonstrates a delayed presentation of small bowel obstruction caused by a suprapubic catheter traversing through the ileal mesentery in a patient with no prior bowel surgeries. Few cases report this complication and this is possibly the first case to be reported six years after SPC placement.

2018 Urology case reports

15. Using central venous catheter for suprapubic catheterization in cardiac surgery Full Text available with Trip Pro

Using central venous catheter for suprapubic catheterization in cardiac surgery 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).

2017 Research and reports in urology

16. Does Size Matter? Measured and Modeled Effects of Suprapubic Catheter Size on Urinary Flow. (Abstract)

Does Size Matter? Measured and Modeled Effects of Suprapubic Catheter Size on Urinary Flow. To quantify the effects of catheter size and urinary sediment on catheter drainage, and to determine the French size at which catheter upsizing yields a diminished marginal return in flow.Latex Foley catheters (12-26 French [Fr]) were connected to a simulated bladder. Passive drainage times of 450 mL water were measured over 5 successive trials for each catheter size. The effect of sediment was modeled (...) by adding 2g of infant rice cereal to the water. Measurements were repeated in half-length catheters to assess the effect of catheter length. A computational model of resistance was compared to measured data. Percent differences in catheter resistance based on measured catheter dimensions were determined.Catheter resistance significantly decreased (P < .001) with increasing catheter size. All catheter sizes had significantly faster (P < .001) drainage times after being shortened, except for the 16 Fr

2017 Urology

17. Update on voiding dysfunction managed with suprapubic catheterization Full Text available with Trip Pro

Update on voiding dysfunction managed with suprapubic catheterization As the population ages the prevalence of long-term urinary catheters, especially in the elderly, is going to increase. Urinary catheters are usually placed to manage urinary retention or incontinence that cannot be managed any other way. There is significant morbidity associated with an indwelling catheter. The commonest problems are catheter blockages, infection and bladder stones. These will occur with a similar incidence (...) with either a suprapubic or a urethral catheter. Urethral complications such as strictures, scrotal infection and erosion are less common with suprapubic catheterization (SPC). However the benefit of having a SPC needs to be balanced against the risks involved in inserting the catheter suprapubically. Patient reported symptoms show that a SPC is more comfortable and better tolerated than a urethral catheter. However there needs to be more research into developing better catheters that reduce the frequency

2017 Translational andrology and urology

18. Case Report: Vessel Injury During Suprapubic Catheter Placement and the Importance of Patient Positioning in Obese Patients Full Text available with Trip Pro

Case Report: Vessel Injury During Suprapubic Catheter Placement and the Importance of Patient Positioning in Obese Patients Obesity is a well-known risk factor for increased perioperative morbidity. As surgeons see higher volumes of obese patients, it is important to recognize how an elevated body mass index can impact even the most basic surgical steps, such as patient positioning. This case report describes an iatrogenic injury to the external iliac artery in a morbidly obese patient caused (...) by an abdominal trocar during suprapubic catheter insertion secondary to malrotation of the bony pelvis. It highlights the importance of recognizing the impact of obesity on patient positioning.

2017 Urology case reports

19. UroShield for preventing catheter-associated urinary tract infections

blockages. Bladder instillations or washouts should not be used to prevent catheter-associated infections and catheters should be changed only when clinically necessary, or according to the manufacturer's recommendations. Prophylactic antibiotics should not be used routinely for catheter changes and only considered for patients who have a history of symptomatic urinary tract infection after catheter change, or who experience trauma during catheterisation. Population, setting and intended user UroShield (...) catheters. Jerusalem, Israel. Intervention and comparator(s) UroShield Sham UroShield UroShield for preventing catheter-associated urinary tract infections (MIB191) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 11Key outcomes All patients in the study had an indwelling urinary or suprapubic catheter for over a year and had had treatment for a UTI in the 90 days before study enrolment. Of the 55 patients enrolled

2019 National Institute for Health and Clinical Excellence - Advice

20. Washout of long-term indwelling urinary catheter

below this term in the MeSH hierarchy; [MAJR] = MeSH Major Topic; [TIAB] = Title or abstract; [TI] = Title; [AU] = Author; [TW] = Text Word; Systematic[SB] = Filter for retrieving systematic reviews; * = Truncation Search terms Items found Population: 1. Exp Catheters, Indwelling/ 18,265 2. Exp Urinary Catheterization/ 14,097 3. ((Urine or Urinary or suprapubic or bladder or indwelling or long-term or longterm) adj3 catheter*).ab,ti. 17,156 4. 1 OR 2 OR 3 41,413 5 Catheterization, Central Venous (...) Items found Population: 1. [mh "Catheters, Indwelling"] 994 2. [mh "Urinary Catheterization"] 694 3. ((Urine or Urinary or suprapubic or bladder or indwelling or long-term or longterm) NEAR/3 catheter*):ab,ti. 2,514 4. 1 OR 2 OR 3 3,570 5. [mh “Catheterization, Central Venous”] 792 6. [mh “Vascular Patency”] 899 7. [mh “Postoperative Care”] 4,346 8. 5 OR 6 OR 7 6,013 Intervention: 9. [mh “Therapeutic Irrigation”] 2,249 10. “Bladder washout”*:ab,ti,kw 7 11. (bladder NEAR/3 (irrigat* OR lavage OR wash

2019 Swedish Council on Technology Assessement

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