Urological Complications in Patients with Voiding Dysfunction Managed by Percutaneous Trocar Suprapubic Cystostomy

Authors

  • Bunchong Seubsang Division of Urology, Warinchumrab Community Hospital, Ubolratchathani, Thailand

Keywords:

Voiding dysfunction, percutaneous trocar suprapubic cystostomy, complication, quality of life

Abstract

Objective: To study the quality of life and urological complications in patients with voiding dysfunction managed
by percutaneous trocar suprapubic cystostomy.
Materials and Methods: A total of 50 patients who underwent percutaneous trocar suprapubic cystostomy (SPC)
between 2006 and 2012 were retrospectively reviewed. Demographic data, comorbidity, urine culture, glomerular
filtration rate (CKD-EPI formula), indication for SPC, complications, and quality of life were compared between
patients who had previous urethral catheterization and those who had SPC.
Results: Glomerular filtration rate before SPC was higher than that after SPC, but not statistically different
(P>0.05). The incidence of symptomatic urinary tract infection (UTI) after SPC was lower than that before SPC (20%
vs 48%), a significant difference (P<0.05). The most common pathogen found on urine culture was Escherichia coli.
Patients’ satisfaction rate for SPC was 86%. Reasons for preference included less frequent symptomatic urinary tract
infection (UTI), less discomfort, easier catheter management, and improved daily activity.
Conclusions: Percutaneous trocar SPC is a simple and effective outpatient procedure for long-term bladder
drainage in patients with voiding dysfunction. But clinicians should be aware of complications related to SPC, and
attempt to reduce these complications. SPC had lower symptomatic urinary tract infection (UTI), and greater patient
satisfaction compared with urethral catheterization.

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Published

2013-12-30

How to Cite

1.
Seubsang B. Urological Complications in Patients with Voiding Dysfunction Managed by Percutaneous Trocar Suprapubic Cystostomy. Thai J Surg [Internet]. 2013 Dec. 30 [cited 2024 Nov. 22];34(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226791

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Original Articles