title: Laparoscopic and cystoscopic-assisted suprapubic catheter insertion: A case study and technical note.
abstract: OBJECTIVE
  To describe a new technique for suprapubic urinary catheterisation that can be used in selected patients with high anaesthetic risk, and previous lower abdominal surgery and bowel adhesions.
  
  
  METHODS
  In a 33-year-old woman, laparoscopic guidance with cystoscopic vision was used to ensure the safe passage of a suprapubic catheter.
  
  
  RESULTS
  The suprapubic catheter was successfully inserted in this challenging patient; release of adhesions allowed for the passage of the catheter without bowel injury.
  
  
  CONCLUSIONS
  Laparoscopic and cystoscopic-assisted suprapubic catheter insertion is a novel technique to avoid significant morbidity and mortality in selected patients with high anaesthetic risk, and previous lower abdominal surgery and bowel adhesions.
authors.affiliation: Department of Urology, Morriston Hospital, Morriston, Swansea, UK.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Tourky
authors.affiliation: Department of Urology, Glan Clwyd Hospital, Rhyl, Denbighshire, UK.
authors.forename: Ross
authors.initials: R
authors.lastname: Knight
authors.affiliation: Department of Colorectal Surgery, Glan Clwyd Hospital, Rhyl, Denbighshire, UK.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Rajagopal
keywords: Bowel adhesions; Long-term catheterisation; Suprapubic catheter