SUPRAPUR(®): Safe and convenient percutaneous suprapubic catheterisation in high-risk patients

TY - JOUR

T1 - SUPRAPUR(®): Safe and convenient percutaneous suprapubic catheterisation in high-risk patients

AU - Kriegmair, Maximilian Christian

AU - Mandel, Philipp

AU - Ritter, Manuel

PY - 2015

Y1 - 2015

N2 - INTRODUCTION: Ultrasound-guided percutaneous placement of a suprapubic cystostomy is a common and generally safe procedure in everyday surgery. In case of adverse patient characteristics such as small bladder capacity or high body mass index, however, the procedure carries an increased risk of severe complications, including bowel perforation. The Suprapur(®) cystostomy set is supposed to enable a safer procedure. The aim of our work was to evaluate the safety and ease of use of the Suprapur(®) cystostomy set.MATERIAL AND METHODS: We prospectively evaluated the Suprapur(®) set in high-risk patients, having either a small bladder capacity below 250 ml or a BMI above 30 kg/m(2). Complications and surgical outcome were monitored. In addition, patients' contentment and pain during the procedure was assessed with a visual analogue scale (VAS). Possible drawbacks and ease of use were evaluated by customized questionnaires for the operating physician.RESULTS: In total, 26 cystostomies were performed by 15 different physicians, 40% (n = 6) of whom were inexperienced first or second year residents. No complications occurred. Mild gross haematuria occurred in 11.5% (n = 4) of cases. Average VAS for pain during and two hours after the procedure was 2.1 (±1.2) and 0.3 (±0.5) respectively. In 91%, (n = 20) of the procedures, the physicians claimed to have felt safe using SUPRAPUR(®) and more comfortable (82%, n = 18) than with a conventional cystostomy set.CONCLUSIONS: SUPRAPUR(®) allows a safe and simple placement of a suprapubic cystostomy even in high-risk patients or in inexperienced hands. It might help to reduce the complications of a common and frequent surgical procedure.

AB - INTRODUCTION: Ultrasound-guided percutaneous placement of a suprapubic cystostomy is a common and generally safe procedure in everyday surgery. In case of adverse patient characteristics such as small bladder capacity or high body mass index, however, the procedure carries an increased risk of severe complications, including bowel perforation. The Suprapur(®) cystostomy set is supposed to enable a safer procedure. The aim of our work was to evaluate the safety and ease of use of the Suprapur(®) cystostomy set.MATERIAL AND METHODS: We prospectively evaluated the Suprapur(®) set in high-risk patients, having either a small bladder capacity below 250 ml or a BMI above 30 kg/m(2). Complications and surgical outcome were monitored. In addition, patients' contentment and pain during the procedure was assessed with a visual analogue scale (VAS). Possible drawbacks and ease of use were evaluated by customized questionnaires for the operating physician.RESULTS: In total, 26 cystostomies were performed by 15 different physicians, 40% (n = 6) of whom were inexperienced first or second year residents. No complications occurred. Mild gross haematuria occurred in 11.5% (n = 4) of cases. Average VAS for pain during and two hours after the procedure was 2.1 (±1.2) and 0.3 (±0.5) respectively. In 91%, (n = 20) of the procedures, the physicians claimed to have felt safe using SUPRAPUR(®) and more comfortable (82%, n = 18) than with a conventional cystostomy set.CONCLUSIONS: SUPRAPUR(®) allows a safe and simple placement of a suprapubic cystostomy even in high-risk patients or in inexperienced hands. It might help to reduce the complications of a common and frequent surgical procedure.

U2 - 10.5173/ceju.2015.632

DO - 10.5173/ceju.2015.632

M3 - SCORING: Journal article

C2 - 26855806

VL - 68

SP - 478

EP - 483

JO - CENT EUR J UROL

JF - CENT EUR J UROL

SN - 2080-4806

IS - 4

ER -