Interventional Radiology Image-Guided Suprapubic Cystostomy Using Trocar versus Seldinger Technique: A Comparative Analysis of Outcomes and Complications

To compare two techniques—trocar and Seldinger—for performing percutaneous suprapubic cystostomy. 125 patients, mean age 71.8 ± 16.5 years (range, 15-102 years), underwent primary suprapubic cystostomy from January 2013 to December 2018. Trocar access (N = 60) was performed as a single step using a...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2020-08, Vol.142, p.207-212
Main Authors: Roberts, Dustin G., Patel, Ricky B., Genshaft, Scott J., Padia, Siddharth A., McWilliams, Justin P., Moriarty, John M., Srinivasa, Ravi N.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Cystostomy - instrumentation
Cystostomy - methods
Equipment Design
Humans
Male
Middle Aged
Postoperative Complications - epidemiology
Radiology, Interventional
Retrospective Studies
Surgery, Computer-Assisted
Treatment Outcome
Young Adult
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Summary:To compare two techniques—trocar and Seldinger—for performing percutaneous suprapubic cystostomy. 125 patients, mean age 71.8 ± 16.5 years (range, 15-102 years), underwent primary suprapubic cystostomy from January 2013 to December 2018. Trocar access (N = 60) was performed as a single step using a puncture cannula without guidewire access. Seldinger access (N = 65) involved needle puncture, guidewire placement, and serial dilation. A retrospective review of patient records was conducted. All procedures were technically successful. Mean catheter size was 13.1 ± 2.0 and 13.9 ± 2.0 French for trocar and Seldinger, respectively (P = .044). Mean procedure time was significantly reduced using trocar technique, 12.4 ± 7.7 versus 25.7 ± 12.1 minutes (P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2020.05.015