title: [Bladder catheter or suprapubic fistula? Indications and contraindications].
abstract: Even in closed sterile transurethral catheter drainage, infections of the lower urinary tract are documented in 50% of cases after 1 week of indwelling catheter. Not all of these cases develop symptomatic catheter-associated urinary tract infection. Suprapubic catheter drainage of the bladder results in markedly later urinary tract infection, presenting 50% of patients infected on day 40. The markedly later onset of catheter-associated urinary tract infection makes the suprapubic approach to bladder drainage suitable for all those patients, who may need catheters for more than 3 days postoperatively. Transfusion-dependent bleeding after puncture in 2-4% of cases and perforation of adjacent organs in 0.3% are the main complications. Suprapubic insertion of a catheter is contraindicted in patients with bleeding disorders and in those with bladder cancer in their history.
authors.affiliation: Klinik für Urologie, Georg-August-Universität Göttingen.
authors.forename: R H
authors.initials: RH
authors.lastname: Ringert
authors.forename: A J
authors.initials: AJ
authors.lastname: Gross
mesh_terms: D002408:Catheters, Indwelling; D000075202:Contraindications; D003428:Cross Infection / Q000517:prevention & control* / Q000635:transmission; D003559:Cystostomy; D004867:Equipment Design; D006801:Humans; D012307:Risk Factors; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000517:prevention & control* / Q000635:transmission
vernacular_title: Blasenkatheter oder suprapubische Fistel? Indikation und Kontraindikation.