User:Mr. Ibrahem/Suprapubic catheter

A suprapubic catheter (SPC) is a drainage tube placed into the urinary bladder just above the pubic symphysis. This is generally done for urinary obstruction when other methods are not possible. Other options may include urethral catheterization and intermittent catheterization.

Before beginning it should be verified by ultrasound that the bladder is full. The area is than shaved, sterilized, and frozen. In the Seldinger technique, about two finger widths above the pubic bone a needle is inserted until urine returns. A guidewire is than inserted through the needle and the needle removed. A dilator and sheath is than passed over the wire after which the dilator and wire is removed. A Foley catheter is than inserted through the sheath. The procedure may also be done with an open technique or a trocar.

After the procedure the Foley is inflated with 10 ml and some gentle traction is applied. It is than secured in place. Complications may include bleeding, bowel injury, infection, and urine leakage around the catheter site. The procedure is done relatively frequently. If a specific kit is not avaliable, a central line may be used.