Supra pubic cystostomy
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Supra pubic cystostomy
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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: • Foley, 30-mL balloon, sizes 20, 22, or 24 Fr • Foley, 5-mL balloon, 24 Fr,
- 9. -Three-way irrigating catheter (third lumen can be used for continuous irrigation) • 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.