Suprapubic bladder catheterisation using the Seldinger technique

摘要

Background:Suprapubic catheterisation is normally performed blindly or ultrasound guided. We present an evaluation of a new Seldinger technique for suprapubic catheterisation in our department describing the technique and post procedure results.Methods:6 patients had suprapubic catheters introduced via the Seldinger technique using suprapubic Foley catheter introduction set, Mediplus Ltd, High Wycombe, UK. All clinicians completed a questioner at the end of the procedure rating their confidence in the new device compared to the standard technique across 5 domains using a simple scale.Conclusion:Overall users of the device expressed greater confidence in application, patient comfort and safety of the new device compared to standard trochar placement. Given the current drive to minimise risk these devices appear to represent a significant advance over standard methods and merit consideration for routine use. Background Suprapubic catherisation is currently performed using blind or ultrasound-guided percutaneous trochar puncture. Although usually straightforward it can be associated with bowel injury which may be fatal1,2. The safer Seldinger technique is now standard for vascular access and nephrostomy insertion and we now report its application to suprapubic catheterisation. Methods We evaluated patient safety and the clinician's perception of a new Seldinger technique for Suprapubic catheterisation using the ‘Suprapubic Foleys catheter introducing set' (Mediplus Ltd, High Wycombe, UK) [Figure 1].