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ORIGINAL ARTICLE
Year : 2013  |  Volume : 29  |  Issue : 1  |  Page : 16-18

An audit of suprapubic catheter insertion performed by a urological nurse specialist


1 Urological Nurse Specialist, NU Hospitals, Bangalore, Karnataka, India
2 Department of Urology, NU Hospitals, Bangalore, Karnataka, India

Correspondence Address:
Sam C Zacharia
NU Hospitals, C.A.6, 15th Main, 11th Cross, Padmanabhanagar, Bangalore, Karnataka - 560 070
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.109977

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Aims: To introduce the concept that a urological Nurse Specialist can perform Suprapubic Catheter (SPC) insertions independently without significant complications, if systematic training is given. Settings and Design: Retrospective study. Materials and Methods: A retrospective audit of Suprapubic Catheter insertions performed by a Urological Nurse Specialist was conducted between April 2009 and April 2011. Results: Of the total 53 patients, in 49 (92.45%) the procedure was successful. Out of the remaining four, two (3.77%) were done by a urologist. One patient's (1.89 %) SPC did not drain after placement and ultrasonography reported that the Foley balloon was lying within the abdominal wall. The other patient's SPC drained well for a month and failed to drain after the first scheduled change in a month. Since the ultrasonography showed the Foley balloon to be anterior to the distended bladder, an exploration was performed and this revealed that the SPC tract had gone through a fold of peritoneum before reaching the bladder. None had bowel injury. Conclusions: If systematic training is given, a urological Nurse Specialist can perform SPC insertions independently without significant complications.


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