Procedures:
Cystogram: Water soluble contrast was injected through the indwelling
Foley catheter and digital images of the pelvis were obtained in
multiple projections. The bladder wall is smooth and easily
distended. The indwelling Foley catheter tip is against the dome of
the bladder.
Ultrasound Guidance: Ultrasound of the pelvis demonstrated the
distended urinary bladder. The best approach was planned and the skin
was marked. Using sterile technique and 1% lidocaine for local
anesthesia, the urinary bladder was percutaneously punctured from a
suprapubic approach under sonographic guidance.
Placement of a Suprapubic Catheter: A guidewire was advanced through
the needle and curled within the urinary bladder. Under fluoroscopic
guidance, following progressive dilatation of the tract, a 10 French
pigtail catheter was placed with the catheter tip curled within the
urinary bladder. A flouro-spot film of the pelvis was obtained to
document final position of the catheter. The catheter was secured in
place with 2.0 Prolene sutures. The patient tolerated procedure well
without complications.
Impression: Successful ultrasound and fluoroscopic placement of a
suprapubic catheter.
THANKS FOR ALL THE OPINIONS SUBMITTED!
Cystogram: Water soluble contrast was injected through the indwelling
Foley catheter and digital images of the pelvis were obtained in
multiple projections. The bladder wall is smooth and easily
distended. The indwelling Foley catheter tip is against the dome of
the bladder.
Ultrasound Guidance: Ultrasound of the pelvis demonstrated the
distended urinary bladder. The best approach was planned and the skin
was marked. Using sterile technique and 1% lidocaine for local
anesthesia, the urinary bladder was percutaneously punctured from a
suprapubic approach under sonographic guidance.
Placement of a Suprapubic Catheter: A guidewire was advanced through
the needle and curled within the urinary bladder. Under fluoroscopic
guidance, following progressive dilatation of the tract, a 10 French
pigtail catheter was placed with the catheter tip curled within the
urinary bladder. A flouro-spot film of the pelvis was obtained to
document final position of the catheter. The catheter was secured in
place with 2.0 Prolene sutures. The patient tolerated procedure well
without complications.
Impression: Successful ultrasound and fluoroscopic placement of a
suprapubic catheter.
THANKS FOR ALL THE OPINIONS SUBMITTED!