Percutaneous, large-bore, suprapubic cystostomy: technique and results.
A technique to insert large-bore suprapubic cystostomy catheters (18-French or larger) percutaneously, under radiologic imaging guidance, is described in 15 men who required long-term drainage of the bladder. This single-stage procedure is carried out under local anesthesia with optional IV sedation. It consists of rapid enlargement of the percutaneous track by means of a balloon dilatation catheter followed by insertion of a self-retaining Foley cystostomy catheter through a peel-away sheath. No complications associated with the placement of the catheters occurred, and long-term patient compliance has been satisfactory. Our results suggest that percutaneous, large-bore suprapubic cystostomy may be a preferred alternative to surgical cystostomy.
Papanicolaou
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N
Department of Radiology, Massachusetts General Hospital, Boston.
Pfister
R C
RC
Nocks
B N
BN
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000295:instrumentation; D002408:Catheters, Indwelling; D003559:Cystostomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014546:Urinary Catheterization / Q000379:methods*