Main Article Content
Experience with amodified technique for outpatient closed suprapubic cystostomy for the rural surgeon.
Abstract
Objective: Standard surgical procedures as practiced in the developed countries are often inapplicable in rural practices, especially in the
developing countries, due to the absence of appropriate and adequate facilities. The authors developed and here describe and share their
experience with a modification of the standard technique for outpatient suprapubic cystostomy adaptable to the rural surgeon
Materials and Methods: This innovative technique was used on seventy-five patients over a period of ten years. Simple instruments usually
available in most rural centres were used for the technique.
Result: The procedure was successful and well tolerated in all the patients who satisfied the indications and criteria for its use. Among the few
complications observed were haematuria, which was transient in six patients (8%) and wound infection in ten patients (13.3%). Bacteraemia
with or without urinary tract infection observed in fifty patients (66%), was not primarily due to the procedure.
Conclusion: The technique provides a simple, quick, and safe outpatient procedure for closed suprapubic cystostomy using minimal instruments
and other surgical facilities. It is recommended for the rural surgeon
developing countries, due to the absence of appropriate and adequate facilities. The authors developed and here describe and share their
experience with a modification of the standard technique for outpatient suprapubic cystostomy adaptable to the rural surgeon
Materials and Methods: This innovative technique was used on seventy-five patients over a period of ten years. Simple instruments usually
available in most rural centres were used for the technique.
Result: The procedure was successful and well tolerated in all the patients who satisfied the indications and criteria for its use. Among the few
complications observed were haematuria, which was transient in six patients (8%) and wound infection in ten patients (13.3%). Bacteraemia
with or without urinary tract infection observed in fifty patients (66%), was not primarily due to the procedure.
Conclusion: The technique provides a simple, quick, and safe outpatient procedure for closed suprapubic cystostomy using minimal instruments
and other surgical facilities. It is recommended for the rural surgeon
