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Intermediate Technical IVT

suprapubic cystostomy

Pronunciation: SOO-prah-PYOO-bik sis-TOS-toh-mee

Surgical creation of an opening through the abdominal wall into the bladder for urinary drainage.

Full Definition

Suprapubic cystostomy is a procedure that establishes direct access to the bladder through the anterior abdominal wall, typically performed when urethral catheterization is contraindicated or impossible. The procedure involves creating a small incision above the pubic bone and inserting a catheter directly into the bladder. This approach is often preferred for long-term bladder drainage, following certain urethral surgeries, or in cases of urethral trauma. Suprapubic catheters generally offer better patient comfort and reduced infection risk compared to long-term urethral catheters.

Usage

Usage note: Distinguish from 'suprapubic catheter' which refers to the tube itself.

In Context

  • "Suprapubic cystostomy was performed due to urethral stricture preventing standard catheterization." — Operative note
  • "The suprapubic cystostomy tube should be changed every 4-6 weeks." — Patient care instructions

Also known as

suprapubic catheter placement cystostomy tube insertion

Don't confuse with

percutaneous nephrostomy urethral catheterization vesicostomy

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