DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194193

Comparative study of perioperative morbidities of the conventional and ultrasound-guided suprapubic catheterization in the patients of urinary retention during emergency

Mahesh Chandra, Keyur Parmar, Seema Wasnik

Abstract


Background: Urinary retention is one of the common urological emergencies and conventional ‘blind’ SPC frequently used comfortable as well superior procedure for patients. During conventional SPC, the distended bladder is identified by palpation or percussion without proper attention to intervening bowel segment and other structures. However, the recently published data suggests that if, ultrasound is used during SPC, and it identifies not only bladder but also intervening bowel segment which complications. Therefore, the objective of this study was to assess and compare the perioperative complications of both methods.

Methods: This prospective study was conducted between years November’2017 to June’2019. Sixty patients (n=60) of urinary retention were randomized to undergo ultrasound guided or conventional SPC procedures. Patients were divided into two equal groups of 30 patients in US-SPC (Group-A) and C-SPC (Group-B). After either SPC, the patients were closely observed for development of complications.

Results: Overall, the patients had mean age of 53.87+21.418 and 53.87+21.418 years in C-SPC and US-SPC group, respectively. Mean operative time and subsequent initial urine drainage were almost equal in both groups. However, in C-SPC group, 5(16.7%) patients developed complications in the form of 03 misplaced catheters outside bladder, 01 into retro pubic space and another 01 into rectum. All patients in Group-A required ultrasound guided revision of SPC compared to none in Group-B.

Conclusion: Overall, the ultrasound-guided SPC (US-SPC) is safer procedure compared to conventional ‘blind’ C-SPC in relieving urinary retention in emergency, thus it should be recommended procedure whenever need arise for SPC procedure.


Keywords


Bladder, Catheterization, Conventional, Complications, Ultrasound, Urine

Full Text:

PDF

References


Abram PH, Gaches CGC, Green NA, Shah PJR, Ashken MH. Role of suprapubic catheterization in retention of urine. J R Soc Med. 1980;73(12):845-8.

Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. Am Fam Physician, 2008;77(5):643-50.

Choong S, Emberton M. Acute urinary retention. BJU International. 2000;85(2):186-201.

Hurt WG. Urinary drainage devices: In: Hurt WG, ed. Urogynecologic Surgery. Gaithersburg, MD: Aspen Publishers. 1992;177-182.

Hodgkinson CP, Hoodari AA. Trocar suprapubic cystostomy for postoperative bladder draining in the female. Am J Obstet Gynecol. 1966; 96(6):733-81.

Harrison SCW, Lawrence WT, Morley R, Pearce I, Taylor J. British Association of Urological Surgeon’s Suprapubic Catheter Practice Guidelines. BJU International. 2011;107(1):77-85.

Ahluwalia RS, Johal N, Kouriefs C, Kooiman G, Montgomery BS, Plail RO. The surgical risk of suprapubic catheter insertion and long-term sequelae. Ann R Coll Surg Engl. 2006;88(2):210-13.

Jacob P, Rai BP, Todd AW. Suprapubic catheter insertion using an ultrasound-guided technique and literature review. BJU International. 2012;110(6):779-84.

Aguilera PA, Choi T, Durham BA. Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department. J Emerg Med. 2004;26(7):319-21.

Asante EKA, Mensah JE, Klufio GO, Kyei MY, Ampadu KN. Stab suprapubic catheter insertion indications and perioperative complications: A four and half year review at the Korle Bu teaching hospital, Accra. Postgraduate Medical J Ghana, 2017; 30-2.

Sheriff MK, Foley S, McFarlane J, Nauth-Misir R, Craggs M, Shah PJ. Long-term suprapubic catheterization: clinical outcome and satisfaction survey. Spinal Cord. 1998;36(3):171-6.

Carmel G. Cronin, Prakash P, Debra A. Grevais. Image-Guided Suprapubic Bladder Tube Insertion: Experience in the care of 549 Patients. AJR 2011; 196(1):182-8.

Chiou RK, Morton JJ, Engelsgierd JS, Mays S. Placement of large suprapubic tube using peel-away introducer. J Urol. 1995;153(4):1179-81.

Wolf H, Olesen S, Madsen PO. Suprapubic Trocar Cystostomy with Balloon Catheter. Scand J Urol Nephrol. 1967;1(1):66-7.

Muhammad AS, Agwu NP, Abdulwahab AA, Abdullah K, Mungadi IA. Safety and efficacy of ultrasound-guided percutaneous suprapubic cystostomy in resource-poor setting: A seven year review. Urol Ann. 2018;10(1):24-8.