Suprapubic aspiration and catheterization is an easily performed emergency department procedure that is associated with minimal complications. Huze and Beeson1 first published this practice in 1956 as an alternative to more traditional methods of obtaining urine for analysis and culture. Their findings suggested that suprapubic catheterization and aspiration was superior to clean-catch or transurethral (via catheterization) collection of bladder urine for bacteriologic study. Since then, the indications for suprapubic catheterization and aspiration have expanded to acute and chronic conditions.
Indication:
Urinary retention (eg, prostate hypertrophy or cancer, gynecologic malignancy, spinal cord injury)
Urinalysis or urine culture in neonates or children younger than 2 years
Phimosis
Chronic infection of the urethra or periurethral glands
Urethral stricture
Urethral trauma
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Monday 26 May 2008
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