Supra pubic cystostomy
โขDownload as PPTX, PDFโข
0 likesโข1,045 views
Supra pubic cystostomy
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Supra pubic cystostomy
Similar to Supra pubic cystostomy (20)
More from Arsi University, Asella, Ethiopia
More from Arsi University, Asella, Ethiopia (20)
Recently uploaded
Recently uploaded (20)
Supra pubic cystostomy
- 1. SUPRAPUBIC CYSTOSTOMY Presented by---- Mrs. Usha Rani Kandula, MSc.Nursing, Assistant professor, Department of Adult Health Nursing, College of Health Sciences, Arsi University, Asella, Ethiopia.
- 2. SUPRAPUBIC CYSTOSTOMY -Urinary drainage from the bladder is established via a catheter inserted through a suprapubic incision or trocar puncture into the bladder.
- 3. INDICATION OF SUPRAPUBIC CYSTOSTOMY -If the bladder or urethra is injured by trauma associated with bony and soft tissue injuries of the pelvis, -the bladder may be drained with a catheter placed above the pubic arch.
- 4. -This method of drainage is also preferred after some; -ureteral, -bladder, -prostatic,
- 5. -urethral surgical procedures --to decrease tension on sutures, -ensure a patent route for urinary drainage, -and minimize urinary retention.
- 6. -A supra pubic catheter also can be used when the surgeon wants the patient to void some urine voluntarily via the urethra to maintain urethral function and tone, -such as after bladder or vaginal repairs.
- 7. -Supra pubic catheters are connected to a sterile, closed, constant drainage system --before the patient leaves the OR (operating room).
- 8. CATHETERS FOR CYSTOSTOMY DRAINAGE The following are the most commonly used catheters for cystostomy drainage: โข Foley, 30-mL balloon, sizes 20, 22, or 24 Fr โข Foley, 5-mL balloon, 24 Fr,
- 9. -Three-way irrigating catheter (third lumen can be used for continuous irrigation) โข suprapubic catheter set
- 10. -If a biopsy is done, possible equipment needed for the procedure includes biopsy forceps, -which are used for taking tissue specimens, a Bug bee electrode, which is used to cauterize bleeders.
- 11. The Bugbee electrode is a monopolar, flexible electrode and is used in cystoscopes, resectoscopes and ureteroscopes. -The Bugbee electrode is used for the ablation coagulation of soft tissue.
- 12. -If the urethra is constricted for any reason, possible equipment needed for the procedure includes an Otis urethrotome, -with blade to incise the stricture, -and van Buren dilators used for dilating.
- 13. The Otis urethrotome was routinely used to incise urethral strictures.
- 14. The Van Buren Urethral Sounds are used to dilate the urethra and relieve any obstructions to maintain urinary flow.
- 15. A BRIEF DESCRIPTION OF THE PROCEDURE FOLLOWS: 1. A sheath and obturator are lubricated and inserted into the urethra. 2. An obturator is removed and the cystoscope is inserted.
- 16. 3. Irrigation tubing is attached, and the bladder is filled with solution for visualization. 4. A light cord is attached to the fiber optic unit. Thanking you.