title: An audit of suprapubic catheter insertion performed by a urological nurse specialist.
abstract: OBJECTIVE
  To introduce the concept that a urological Nurse Specialist can perform Suprapubic Catheter (SPC) insertions independently without significant complications, if systematic training is given.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  A retrospective audit of Suprapubic Catheter insertions performed by a Urological Nurse Specialist was conducted between April 2009 and April 2011.
  
  
  RESULTS
  Of the total 53 patients, in 49 (92.45%) the procedure was successful. Out of the remaining four, two (3.77%) were done by a urologist. One patient's (1.89 %) SPC did not drain after placement and ultrasonography reported that the Foley balloon was lying within the abdominal wall. The other patient's SPC drained well for a month and failed to drain after the first scheduled change in a month. Since the ultrasonography showed the Foley balloon to be anterior to the distended bladder, an exploration was performed and this revealed that the SPC tract had gone through a fold of peritoneum before reaching the bladder. None had bowel injury.
  
  
  CONCLUSIONS
  If systematic training is given, a urological Nurse Specialist can perform SPC insertions independently without significant complications.
authors.affiliation: Urological Nurse Specialist, NU Hospitals, Bangalore, Karnataka, India.
authors.forename: Sam C
authors.initials: SC
authors.lastname: Zacharia
authors.forename: Maneesh
authors.initials: M
authors.lastname: Sinha
authors.forename: Prasanna
authors.initials: P
authors.lastname: Matippa
authors.forename: Venkatesh
authors.initials: V
authors.lastname: Krishnamoorthy
keywords: Nurse specialist; suprapubic catheter insertion; trocar cystostomy