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Upon satisfactory finding(s), a suprapubic catheter (with drainage system) will be inserted into the urinary bladder (to create urinary diversion during the procedure), and the chosen procedure will then be initiated. [3] Note: The surgical procedures listed below may have small variances in the methodology used from surgeon to surgeon.
A suprapubic cystostomy or suprapubic catheter (SPC) [1] (also known as a vesicostomy or epicystostomy) is a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow.
Common indications for urinary catheterization include acute or chronic urinary retention (which can damage the kidneys) from conditions such as benign prostatic hyperplasia, orthopedic procedures that may limit a patient's movement, the need for accurate monitoring of input and output (such as in an ICU), urinary incontinence that may compromise the ability to heal wounds, and the effects of ...
Urinary retention in females is uncommon, occurring 1 in 100,000 every year, with a female-to-male incidence rate of 1:13. It is usually transient. The causes of UR in women can be multi-factorial, and can be postoperative and postpartum. Prompt urethral catheterization usually resolves the problem. [25]
The Mitrofanoff procedure is typically performed as an alternative for people who experience painful urethral catheterization and has been particularly useful for females. [5] It is also used in people with neurogenic bladder dysfunction, urethral trauma, and spinal cord injuries. [5]
The procedure can be either temporary or permanent, depending on the patient’s condition and treatment plan. There are several types of urinary diversions, each tailored to the patient’s needs. [2] Incontinent diversions involve creating a stoma, an opening on the abdominal wall, where urine is redirected into an external collection bag.
A comparative study among patients implanted with different models of artificial urinary sphincter and achieved social continence showed no difference between two groups in regards of urodynamic tests, such as flow rate, urethral pressure, etc. [2] A randomised controlled trial found that the artificial urinary sphincter was non-inferior to the ...
Bilateral ureterostomy: This procedure brings the two ureters to the surface of the abdomen, one on each side. Double-barrel ureterostomy: In this approach, both ureters are brought to the same side of the abdominal surface. Transuretero-ureterostomy (TUU): This procedure brings both ureters to the same side of the abdomen, through the same stoma.