Pronounced: sup-ra-pyoo-bik sis-tos-toe-me
Suprapubic cystostomy is a procedure to help drain the bladder (organ that collects and holds urine). A tube called a catheter, which leads out of the lower abdomen, is inserted to drain the bladder.
Reasons for Procedure
This procedure is done if you cannot urinate and a catheter cannot be passed through your urethra to help you urinate. The urethra is where urine passes out of the body from the bladder. Urine may not be able pass through the urethra due to:
The procedure may also be done if you need to:
Complications are rare, but no procedure is completely free of risk. Your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Discuss these risks with your doctor before the procedure.
What to Expect
Prior to Procedure
Your doctor may do the following:
You should also talk to your doctor about your medicines. If this is not an emergency situation, you may be asked to stop taking some medicines up to one week before the procedure. These medicines may include:
Your doctor may ask you to take certain medicines before surgery.
In the days before the surgery:
Note: These steps may not be possible in an emergency situation.
Local anesthesia may be used with or without sedation. You will not have any pain during the procedure.
Description of the Procedure
After anesthesia has numbed the area, the doctor will locate the bladder using imaging tools such as ultrasound if needed. Next, a needle will be inserted through your lower abdomen and into your bladder. A wire will then be guided through the needle into the bladder to prepare the site for a catheter. A special catheter will be placed into the bladder over the wire. The catheter will be sutured in place. A balloon may be inflated to keep the catheter in place. Afterward, the opening made in the skin (called a stoma) will be covered with gauze.
How Long Will It Take?
How Much Will It Hurt?
Anesthesia prevents pain during the procedure. You will be given pain medicine to ease pain and soreness after the surgery.
Average Hospital Stay
You will either stay in the hospital overnight or go home the same day.
At the Hospital
The hospital staff will:
When you return home, do the following to help ensure a smooth recovery:
Call Your Doctor
After you leave the hospital, call your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
Canadian Urological Association
Aguilera PA, Choi T, Durham BA. Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department. J Emerg Med . 2004;26(3):319-21.
Care of a suprapubic cystostomy. Danbury Hospital Patient Education website. Available at: http://www.danbury... . Accessed October 19, 2012.
How to care for a suprapubic catheter. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated September 26, 2012. Accessed October 19, 2012.
Percutaneous suprapubic cystostomy. In: Roberts: Clinical Procedures in Emergency Medicine . 5th ed. Philadelphia, PA: Saunders Elsevier; 2009:chap 55.
Last reviewed March 2013 by Adrienne Carmack, MD