Combined urethral and suprapubic catheter drainage improves post operative management after open simple prostatectomy without bladder irrigation

2017 ◽  
Vol 6 (2) ◽  
pp. 44
Author(s):  
Anselm Okwudili Obi
Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 71 ◽  
Author(s):  
W. Massoud ◽  
N. Rebai ◽  
A. Ballaro ◽  
N. Saheb ◽  
J. Schlosser ◽  
...  

2007 ◽  
Vol 7 ◽  
pp. 1575-1578 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Peter L. Hughes ◽  
Bakul M. Soni

Suprapubic cystostomy is recommended to patients with neuropathic bladder to prevent complications of long-term urethral catheter drainage. We present a 50-year-old male patient with tetraplegia who had long-term urethral catheter drainage. Following flexible cystoscopy, he developed a urine leak from the right side of the scrotum. Suprapubic cystostomy was performed. After suprapubic cystostomy, the urinary fistula healed completely. A follow-up cystourethrogram confirmed an intact urethra with no leak of contrast. Six weeks later, this patient presented with a hole below the suprapubic cystostomy through which a small amount of urine was leaking. A keyhole dressing had been applied around the suprapubic catheter and the catheter was hanging loosely, thus permitting traction on the catheter, especially when the urine bag was full. Computerised tomography of the pelvis showed extrusion of the Foley balloon from the urinary bladder, but the tip of the catheter was still located within the bladder. The extruded catheter was removed and a Foley catheter was inserted, ensuring that the balloon was inflated within the urinary bladder. The suprapubic catheter was secured firmly to the anterior abdominal wall with a BioDerm Tube Holder, thus preventing any traction on the catheter or Foley balloon. The urine leak through the hole below the suprapubic cystostomy stopped and the sinus healed. This case illustrates the need to anchor the suprapubic catheter securely to the anterior abdominal wall with adhesive tape or BioDerm Tube Holder to prevent traction and consequent displacement of the catheter or Foley balloon.


2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnson F. Tsui ◽  
Michael Feuerstein ◽  
Seyed Behzad Jazayeri ◽  
David B. Samadi

Operative management of prostate cancer in a patient who has undergone previous open suprapubic simple prostatectomy poses a unique surgical challenge. Herein, we describe a case of intermediate risk prostate cancer in a man who had undergone simple prostatectomy ten years prior to presentation. The patient was found to have Gleason 7 prostate cancer on MRI fusion biopsy of the prostate for elevated PSA and underwent an uncomplicated robot assisted laparoscopic radical prostatectomy.


Anaesthesia ◽  
1999 ◽  
Vol 54 (5) ◽  
pp. 506-507 ◽  
Author(s):  
S. Anandaciva

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