Suprapubic cystostomy: Difference between revisions

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A '''suprapubic cystostomy''' (also known as a '''vesicostomy''') is a [[surgery|surgically-created]] connection between the [[urinary bladder]] and the skin which is used to drain [[urine]] from the bladder in individuals with obstruction of normal urinary flow. Urinary flow may be blocked by swelling of the prostate ([[benign prostatic hypertrophy]]), traumatic disruption of the [[urethra]], [[Congenital disorder|congenital defects]] of the [[urinary tract]], or by obstructions such as [[kidney stones]] passed into the urethra, and [[cancer]]. Initially, a thin tube ([[catheter]]) is placed through the skin just above the [[pubic bone]] into the bladder, often with the assistance of [[ultrasound]] imaging.<ref name="pmid15028331">{{cite journal |author=Aguilera PA, Choi T, Durham BA |title=Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department |journal=J Emerg Med |volume=26 |issue=3 |pages=319–21 |year=2004 |pmid=15028331 |doi=10.1016/j.jemermed.2003.11.016 |url=http://linkinghub.elsevier.com/retrieve/pii/S0736467903003809}}</ref> This catheter initially remains in place for up to a month while the tissue around it scars and forms a tract ([[Sinus (anatomy)|sinus]]) between the bladder and the body exterior. After the formation of scar tissue is complete, the catheter is replaced periodically in order to help prevent [[infection]]s.
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==Overview==


A '''suprapubic cystostomy''' (also known as a '''vesicostomy''') is a [[surgery|surgically-created]] connection between the [[urinary bladder]] and the skin which is used to drain [[urine]] from the bladder in individuals with obstruction of normal urinary flow. Urinary flow may be blocked by swelling of the prostate ([[benign prostatic hypertrophy]]), traumatic disruption of the [[urethra]], [[Congenital disorder|congenital defects]] of the [[urinary tract]], or by obstructions such as [[kidney stones]] passed into the urethra, and [[cancer]]. Initially, a thin tube ([[catheter]]) is placed through the skin just above the [[pubic bone]] into the bladder, often with the assistance of [[ultrasound]] imaging.<ref name="pmid15028331">{{cite journal |author=Aguilera PA, Choi T, Durham BA |title=Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department |journal=J Emerg Med |volume=26 |issue=3 |pages=319–21 |year=2004 |pmid=15028331 |doi=10.1016/j.jemermed.2003.11.016 |url=http://linkinghub.elsevier.com/retrieve/pii/S0736467903003809}}</ref>
This catheter initially remains in place for up to a month while the tissue around it scars and forms a tract ([[Sinus (anatomy)|sinus]]) between the bladder and the body exterior. After the formation of scar tissue is complete, the catheter is replaced periodically in order to help prevent [[infection]]s.


== References ==
== References ==

Revision as of 19:53, 19 January 2009

Template:Interventions infobox Template:Search infobox Steven C. Campbell, M.D., Ph.D.

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Overview

A suprapubic cystostomy (also known as a vesicostomy) is a surgically-created connection between the urinary bladder and the skin which is used to drain urine from the bladder in individuals with obstruction of normal urinary flow. Urinary flow may be blocked by swelling of the prostate (benign prostatic hypertrophy), traumatic disruption of the urethra, congenital defects of the urinary tract, or by obstructions such as kidney stones passed into the urethra, and cancer. Initially, a thin tube (catheter) is placed through the skin just above the pubic bone into the bladder, often with the assistance of ultrasound imaging.[1]

This catheter initially remains in place for up to a month while the tissue around it scars and forms a tract (sinus) between the bladder and the body exterior. After the formation of scar tissue is complete, the catheter is replaced periodically in order to help prevent infections.

References

  1. Aguilera PA, Choi T, Durham BA (2004). "Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department". J Emerg Med. 26 (3): 319–21. doi:10.1016/j.jemermed.2003.11.016. PMID 15028331.

External links

Template:Urogenital surgical procedures Template:SIB

nl:Cystostomie

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