Cystostomy
Objective
In case of urinary obstruction
• An opening is made direct into the bladder to overcome the obstruction.
Position
Supine.
Anesthesia
Local.
Procedure
1. A low vertical or transverse anterior abdominal incision.
2. Bladder may be distended.
3. Dome of the bladder is incised.
4. de Pezzer or Malecot catheter is inserted and secured with absorbable sutures through the bladder wall to obtain a watertight closure.
5. The catheter exits the main incision or a stab wound.
6. Secured to the skin with a stitch.
7. Wound is closed.
8. Urethral catheter may be placed to minimize leakage.
Instruments
• General set
• Urethral sounds
• Catheter stylet
• Trocar (available)
• Foley catheter and sealed drainage unit (
• Catheter for cystotomy (e.g. de Pezzer, Malecot)
Any questions be sent to drmmkapur@gmail.com
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