Efficacy of the Preliminary Ultrasonographic Examination before Suprapubic Cystostomy by Trocar.
- Author:
Jae Hong KIM
1
;
Bong Cheol SEOK
;
Sung Hak YANG
Author Information
1. Dongkang Hospital, Ulsan, Korea.
- Publication Type:Original Article
- Keywords:
suprapubic cystostomy;
trocar;
ultrasound
- MeSH:
Cystostomy*;
Hematuria;
Humans;
Pubic Bone;
Punctures;
Retrospective Studies;
Rupture;
Surgical Instruments*;
Ultrasonography;
Urinary Bladder;
Urinary Diversion;
Urinary Retention
- From:Korean Journal of Urology
1997;38(3):295-298
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Suprapubic cystostomy by trocar is a simple, safe and useful method for urinary diversion in acute urinary retention. But rarely, severe complications occur during or after suprapubic cystostomy such as bowel perforation, through and through perforation of the bladder, rectal injury and severe hematuria. We studied the complications of suprapubic cystostomy retrospectively and compared 19 patients who performed ultrasonographic examination with 30 patients without ultrasonographic examination. The complications in 30 patients without preliminary ultrasonographic examination were initial failure in 4 cases (13.3%), extravesical Foley indwelling in 2 cases (6.7%), puncture site closed to the pubic bone in 2 cases (6.7%), spontaneous bladder rupture in 1 case (3.3%) and bowel injury in 1 case (3.3%). But, the complication in 19 patients with preliminary ultrasonographic examination was only 1 retried case (5.3%) because of extravesical Foley indwelling. As above results, the brief preliminary ultrasonographic examination of the bladder is a very useful method with minimal risk during suprapubic cystostomy by trocar.
