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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.
The small opening on the skin surface, or the stoma, is typically located either in the navel or nearby the navel on the right lower side of the abdomen. [3] Originally developed by Professor Paul Mitrofanoff in 1980, the procedure represents an alternative to urethral catheterization [ 4 ] and is sometimes used by people with urethral damage ...
The urine is drained through a small stoma that is barely visible. This can result in a better body image and broader clothing options. Also, there will not be the worry of an external urostomy appliance coming loose and leaking. The Indiana pouch will require sterile catheters to insert into the stoma to drain the urine every 3–4 hours.
Patients can be taught to use a self catheterization technique in one simple demonstration, [11] and that reduces the rate of infection from long-term Foley catheters. Self catheterization requires doing the procedure periodically during the day, the frequency depending on fluid intake and bladder capacity.
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 ...
The hypogastrium (also called the hypogastric region or suprapubic region) is a region of the abdomen located below the umbilical region. [1] Etymology
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A Bonanno catheter is a medical device. It was originally designed for suprapubic cystostomy (drainage of urine from the bladder through the skin, bypassing the urethra ). Described by Dr J. P. Bonanno in 1970 and patented in 1987, [ 1 ] [ 2 ] it is produced by the medical supplies company Becton Dickinson .
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