|Bladder and Urethra (Female)|
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Reasons for Procedure
- Narrowing of the urethra
Other blockage due to:
- Kidney stones
- Prostate disease (in men)
- Avoid damaging the urethra
- Have surgery on the urethra or nearby structures
- Have a catheter in your body long-term
- Damage to the bowel or other surrounding structures
- Need for a repeat procedure
- Blood clots
- Anesthesia reaction
- Bleeding disorders
- Medicines that reduce blood clotting
- Previous abdominal surgery
- Bladder cancer
What to Expect
Prior to Procedure
- Physical exam
- Imaging, blood, and urine tests
- Talk about the anesthesia being used and the potential risks
- Aspirin or other anti-inflammatory drugs
- Blood thinners, like warfarin (Coumadin)
- Clopidogrel (Plavix)
- Arrange for a ride home from the hospital.
- You may need to avoid eating for eight hours before the surgery.
- If instructed by your doctor, drink only clear liquids (eg, water, clear juices, tea). You may be asked to drink extra fluids to fill the bladder.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Monitor your recovery
- Help you to eat and move around again
- Give you pain medicine
- Teach you how to care for your catheter
- Take medicines as directed.
- Avoid lifting heavy objects for two weeks.
- Drink plenty of fluids (8-10 glasses per day).
- Do not drive or have sex until your doctor tells you that it is safe to do so.
- Follow the guidelines for changing the catheter and collection bag.
Keep the stoma site clean and dry:
- Cleaning the incision site as directed.
- Using a soft wash cloth to gently wipe the incision area.
- Changing dressings daily, or more as directed.
- Asking your doctor when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Pain or cramps
- Redness or soreness around the catheter site
- Catheter fails to drain
- Catheter falls outs
- Changes in frequency, odor, appearance, or volume of urine
- Signs of infection, including fever or chills
- Bloody urine
American Urological Association Foundation http://www.urologyhealth.org
National Institute of Diabetes and Digestive and Kidney Diseases http://www2.niddk.nih.gov/
Canadian Urological Association http://www.cua.org/
Health Canada http://www.hc-sc.gc.ca
Aguilera PA, Choi T, Durham BA. Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department. J Emerg Med . 2004;26(3):319-21.
Care of a suprapubic cystostomy. Danbury Hospital Patient Education website. Available at: http://www.danburyhospital.org/en/Patient-and-Visitor-Information/Information-Guides/~/media/Files/Patient%20Education/patiented-english/pdf%5FSurgery/SuprapubicCystostomyCare.ashx . Accessed October 19, 2012.
How to care for a suprapubic catheter. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated September 26, 2012. Accessed October 19, 2012.
Percutaneous suprapubic cystostomy. In: Roberts: Clinical Procedures in Emergency Medicine . 5th ed. Philadelphia, PA: Saunders Elsevier; 2009:chap 55.
- Reviewer: Adrienne Carmack, MD
- Review Date: 03/2013 -
- Update Date: 00/31/2013 -