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American Journal of Roentgenology, Vol 152, Issue 2, 303-306
Copyright © 1989 by American Roentgen Ray Society

Articles

Percutaneous, large-bore, suprapubic cystostomy: technique and results

N Papanicolaou, RC Pfister, and BN Nocks

Department of Radiology, Massachusetts General Hospital, Boston.

A technique to insert large-bore suprapubic cystostomy catheters (18-French or larger) percutaneously, under radiologic imaging guidance, is described in 15 men who required long-term drainage of the bladder. This single-stage procedure is carried out under local anesthesia with optional IV sedation. It consists of rapid enlargement of the percutaneous track by means of a balloon dilatation catheter followed by insertion of a self-retaining Foley cystostomy catheter through a peel-away sheath. No complications associated with the placement of the catheters occurred, and long-term patient compliance has been satisfactory. Our results suggest that percutaneous, large-bore suprapubic cystostomy may be a preferred alternative to surgical cystostomy.
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Copyright © 1989 by the American Roentgen Ray Society.