SUFU WM 2014 - Suprapubic tube (SPT) placement under laparoscopic guidance: A novel technique - Session Highlights

MIAMI, FL USA (UroToday.com) - The authors of this poster provided the background of SPT placement, commonly performed in patients with neurogenic bladder.

Bowel injury is a known complication, and even under ultrasound guidance and placement, it can be a challenge to perform in patients with a high BMI, small bladder capacity, open bladder outlet, and prior abdominal surgery. Also, while ultrasound guidance is an option, it is not always readily available. sufu xUltrasound provides poor visualization in patients with open urethras or small bladder capacities, as they cannot be greatly distended. Intraoperative complication rates for patients with neurogenic bladder undergoing cystoscopic-guided SPT placement have been reported as high as 11%. Overall, bowel injury is 2.4%, and mortality is 1.8%.

The goal of laparoscopic guidance is to avoid this morbidity while not subjecting the patient to open SPT placement. In this small pilot study of 5 patients, SPT insertion under laparoscopic guidance appeared to be safe, efficient, and feasible, with few complications.

Presented by James T, Kearns, Gregory T. Bales, and Doreen E. Chung at the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) Winter Meeting - February 25 - March 1, 2014 - Doral Golf Resort and Spa - Miami, Florida USA

Sinai Health System
The University of Chicago Medicine

Reported for UroToday.com by Diane K. Newman, DNP, FAAN, BCB-PMD

 

Conference Coverage
 
Recent data from conferences worldwide
  • 2020 Virtual Congress / September 19-21
  • 2020 BCAN Think Tank Virtual / August 7
  • 2020 Virtual Education Program / August 8-10
  • 2020 Annual Meeting / July 17-19 / EAU Virtual Program
  • SUO - AUA 2020 Summer Webcast / July 18
  • 2020 Annual Meeting / June 27-28 / AUA Live Virtual Program
  • 2020 Annual Meeting / May 29-31 / Virtual Scientific Program
  • 2020 Annual Meeting / February 13-15 / San Francisco, CA
  • 2019 Annual Meeting / December 4-6 / Washington, DC
  • 2019 Annual Meeting / October 3 - October 5 / Aarhus, Denmark
  • 2019 Annual Congress / September 27 - October 1 / Barcelona, Spain
  • 2019 Biennial Meeting / August 29-31 / Basel, Switzerland