title: Transurethral Bougie-guided Placement of Suprapubic Catheter Over Guide Wire Monorail in Females: A Novel Technique.
abstract: OBJECTIVE
  To assess the safety and effectiveness of a novel transurethral bougie-guided monorail technique for suprapubic catheterization in females with vesicovaginal fistula.
  
  
  METHODS
  Patients undergoing transvaginal vesicovaginal fistula repair from February 2013 to December 2013 were selected. Suprapubic catheter was placed using this technique and assessment was done in terms of time taken, intraprocedural dislodgement or entanglement of catheter during the procedure, bleeding from the anterior abdominal wall or urethra, or any other intraoperative difficulty.
  
  
  RESULTS
  All patients were catheterized smoothly without any intraoperative difficulty, with a mean time of 6 minutes.
  
  
  CONCLUSIONS
  We describe a new technique of performing suprapubic cystostomy in patients, especially where the bladder cannot be distended. It is safe and easy to perform.
authors.affiliation: Department of Urology, King George Medical University, Lucknow, India. Electronic address: drdalela24@gmail.com.
authors.forename: Divakar
authors.initials: D
authors.lastname: Dalela
authors.affiliation: Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
authors.forename: Piyush
authors.initials: P
authors.lastname: Gupta
authors.affiliation: Department of Surgery, King George Medical University, Lucknow, India.
authors.forename: Disha
authors.initials: D
authors.lastname: Dalela
authors.affiliation: Department of Urology, King George Medical University, Lucknow, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Srinivas
authors.affiliation: Department of Urology, King George Medical University, Lucknow, India.
authors.forename: Ved
authors.initials: V
authors.lastname: Bhaskar
authors.affiliation: Department of Surgery, King George Medical University, Lucknow, India.
authors.forename: Tuhina
authors.initials: T
authors.lastname: Govil
authors.affiliation: Department of Urology, King George Medical University, Lucknow, India.
authors.forename: Apul
authors.initials: A
authors.lastname: Goel
authors.affiliation: Department of Urology, King George Medical University, Lucknow, India.
authors.forename: Satya Narayan
authors.initials: SN
authors.lastname: Sankhwar
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D014546:Urinary Catheterization / Q000295:instrumentation* / Q000379:methods*; D014719:Vesicovaginal Fistula / Q000601:surgery*