Clinical Case Database / Category: Practical Procedure

A practical procedure for suprapubic catheterisation

Publication details

Conor M Devlin, Chandra Shekhar Biyani
Foundation Years Journal, volume 9, issue 1, p.26 (123Doc Education, London, January 2015)

Abstract

Suprapubic catheters are inserted into the bladder through the abdominal wall. They are usually indicated in cases of failed urethral catheterisation or for long-term catheterisation in certain patient groups. There are a number of techniques of insertion, including the use of a trocar or the Seldinger technique. The most serious complications relating to insertion is the potential for bowel perforation. Commonly, troubles with changing the catheters can present acutely to urology units. The British Association of Urological Surgeons' (BAUS) guidelines for the insertion, management of complications and the long term follow up of suprapubic catheters, is a useful reference for what can be a daunting clinical situation.

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Authors

Conor M Devlin

CT1 Urology, Department of Urology, Pinderfields General Hospital,
Aberford Road, Wakefield, West Yorkshire, UK
conor.devlin134@gmail.com

Chandra Shekhar Biyani (Corresponding author)

Consultant Urologist, Department of Urology, Pinderfields General Hospital,
Aberford Road, Wakefield, West Yorkshire, WF1 2DG, UK.
shekhar.biyani@midyorks.nhs.uk

References

1. J Reynard, S Brewster and S Biers. Oxford handbook of Urology. 3rd edition. 2013. Oxford University Press.
2. Harrison SCW et al. British Association of Urological Surgeons' (BAUS) suprapubic catheter practice guidelines. BJU Int. 2011; 107: 77-85.
3. Jacob P et al. Suprapubic catheter insertion using an ultrasound- guided technique and literature review. BJU Int. 2012; 110(6):779-82.
4. Tompkins AJ et al. Decreasing suprapubic tube-related injuries: results of case series and comprehensive literature review. UrolNurs. 2014;34(1):9-17.
5. National Patient Safety Agency. Minimising risks of suprapubic catheter insertion (adults only). 2009, file:///C:/Users/Dad/Downloads/090729_RRR005_RRR_FINAL.pdf.
6. Gallagher KM et al. Small bowel injury after suprapubic catheter insertion presenting 3 years after initial insertion. BMJ case rep. 2013; 10. 1136/bcr-2013-201436.
7. V. Geng V et al. Indwelling catheters in adults Urethral and Suprapubic. The European Association of Urology Nurses (EAUN) Evidence-based Guidelines for Best Practice in Urological Health Care. 2012.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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