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Percutaneous, large-bore, suprapubic cystostomy: technique and results
N Papanicolaou1, R C Pfister, B N Nocks
1Department of Radiology, Massachusetts General Hospital, Boston.
AJR. American Journal of Roentgenology
|February 1, 1989
Summary
Percutaneous suprapubic cystostomy using large-bore catheters offers a safe, single-stage solution for long-term bladder drainage. This minimally invasive technique shows high patient compliance and avoids complications, suggesting it as a preferred alternative to surgical cystostomy.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Radiology
Background:
- Long-term bladder drainage is often necessary for various urological conditions.
- Traditional surgical cystostomy can be invasive and associated with complications.
- A need exists for simpler, safer methods for suprapubic catheter insertion.
Purpose of the Study:
- To describe a novel technique for percutaneous, large-bore suprapubic cystostomy catheter insertion.
- To evaluate the safety and efficacy of this single-stage procedure in men requiring long-term bladder drainage.
Main Methods:
- A single-stage percutaneous technique was used for 15 men.
- Radiologic imaging guidance was employed throughout the procedure.
- The technique involved balloon dilatation of the track and insertion of a Foley catheter via a peel-away sheath under local anesthesia with optional IV sedation.
Main Results:
- The procedure was successfully performed in all 15 male patients.
- No complications related to catheter placement were observed.
- Long-term patient compliance with the suprapubic cystostomy catheter was satisfactory.
Conclusions:
- Percutaneous, large-bore suprapubic cystostomy is a safe and effective method for long-term bladder drainage.
- This technique offers a potentially preferred alternative to traditional surgical cystostomy.
- The procedure is well-tolerated, minimally invasive, and achieves good patient compliance.