Interventional Ultrasound: US-Guided Puncture of the Bladder

  • Pasquale MartinoEmail author
  • Saverio Forte
  • Domenico Martino
  • Carlos Miacola


Suprapubic cystostomy (or suprapubic catheterization) is a surgical procedure that creates a bladder opening to the outside. Through the hypogastric skin, along the stomy, a drainage tube is inserted into the bladder. This technique is employed to drain urine from the bladder when the normal flow of urine is interrupted. Suprapubic cystostomy is a very common, important procedure in urological practice.


Pubic Symphysis Seldinger Technique Ureteral Catheter Direct Puncture Bladder Dome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 29.1

(MP4 43660 kb)


  1. 1.
    Røhl L, Rasmussen OS (1997) Ultrasound-guided percutaneous suprapubic cystostomy. Eur J Ultrasound 6:57–61CrossRefGoogle Scholar
  2. 2.
    Aguilera PA, Choi T, Durham BA (2004) Ultrasound-guided suprapubic cystostomy catheter placement in the emergency department. J Emerg Med 26(3):319–321CrossRefPubMedGoogle Scholar
  3. 3.
    Harrison SCW, Lawrence WT, Morley R, Pearce I, Taylor J (2011) British Association of Urological Surgeons’ suprapubic catheter practice guidelines. BJU Int 107:77–85CrossRefPubMedGoogle Scholar
  4. 4.
    Khan A, Abrams P (2009) Suprapubic catheter insertion is an outpatient procedure: cost savings resultant on closing an audit loop. BJU Int 103:640–644CrossRefPubMedGoogle Scholar
  5. 5.
    Ichsan J, Hunt DR (1987) Suprapubic catheters: a comparison of suprapubic versus urethral catheters in the treatment of acute urinary retention. Aust N Z J Surg 57:33–36CrossRefPubMedGoogle Scholar
  6. 6.
    Horgan AF, Prasad B, Waldron DJ, O’Sullivan DC (1992) Acute urinary retention. Comparison of suprapubic and urethral catheterisation. Br J Urol 70:149–151CrossRefPubMedGoogle Scholar
  7. 7.
    Sheriff MK, Foley S, McFarlane J, Nauth-Misir R, Craggs M, Shah PJ (1998) Long-term suprapubic catheterization: clinical outcome and satisfaction survey. Spinal Cord 36:171–176CrossRefPubMedGoogle Scholar
  8. 8.
    Fowler CJ, Panicker JN, Drake M et al (2009) A UK consensus on the management of the bladder in multiple sclerosis. J Neurol Neurosurg Psychiatry 80:470–477PubMedGoogle Scholar
  9. 9.
    Mitsui T, Minami K, Furuno T, Morita H, Koyanagi T (2000) Is suprapubic cystostomy an optimal urinary management in high quadriplegics? A comparative study of suprapubic cystostomy and clean intermittent catheterization. Eur Urol 38:434–489CrossRefPubMedGoogle Scholar
  10. 10.
    Feifer A, Corcos J (2008) Contemporary role of suprapubic cystostomy in treatment of neuropathic bladder dysfunction in spinal cord injured patients. Neurourol Urodyn 27:475–479CrossRefPubMedGoogle Scholar
  11. 11.
    Klaaborg KE, Kronborg O (1986) Suprapubic bladder drainage in elective colorectal surgery. Dis Colon Rectum 29:260–262CrossRefPubMedGoogle Scholar
  12. 12.
    Perrin LC, Penfold C, McLeish A (1997) A prospective randomized controlled trial comparing suprapubic with urethral catheterization in rectal surgery. Aust N Z J Surg 67:554–556CrossRefPubMedGoogle Scholar
  13. 13.
    Ratnaval CD, Renwick P, Farouk R, Monson JR, Lee PW (1996) Suprapubic versus transurethral catheterisation of males undergoing pelvic colorectal surgery. Int J Colorectal Dis 11(4):177–9CrossRefPubMedGoogle Scholar
  14. 14.
    Andersen JT, Heisterberg L, Hebjørn S et al (1985) Suprapubic versus transurethral bladder drainage after colposuspension/vaginal repair. Acta Obstet Gynecol Scand 64:139–143CrossRefPubMedGoogle Scholar
  15. 15.
    Branagan GW, Moran BJ (2002) Published evidence favors the use of suprapubic catheters in pelvic colorectal surgery. Dis Colon Rectum 45:1104–1108CrossRefPubMedGoogle Scholar
  16. 16.
    Albrecht K, Oelke M, Schultheiss D, Tröger HD (2004) The relevance of urinary bladder filling in suprapubic bladder catheterization. Urologe A 43:178–184CrossRefPubMedGoogle Scholar
  17. 17.
    Irby PB 3rd, Stoller ML (1993) Percutaneous suprapubic cystostomy. J Endourol 7:125–130CrossRefPubMedGoogle Scholar
  18. 18.
    Lee MJ, Papanicolaou N, Nocks BN, Valdez JA, Yoder IC (1993) Fluoroscopically guided percutaneous suprapubic cystostomy for long-term bladder drainage: an alternative to surgical cystostomy. Radiology 188:787–789CrossRefPubMedGoogle Scholar
  19. 19.
    Ahluwalia RS, Johal N, Kouriefs C, Kooiman G, Montgomery BS, Plail RO (2006) The surgical risk of suprapubic catheter insertion and long-term sequelae. Ann R Coll Surg Engl 88:210–213CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    NHS Technology Adoption Centre. The Seldinger suprapubic catheter kit. Available at: Accessed 26 Sept 2015
  21. 21.
    National Patient Safety Agency. Rapid Response Report NPSA/2009/RRR005: minimising risks of suprapubic catheter 16 insertion (adults only). Available at: Accessed 29 Sept 2015

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Pasquale Martino
    • 1
    Email author
  • Saverio Forte
    • 1
  • Domenico Martino
    • 2
  • Carlos Miacola
    • 1
  1. 1.Department of Emergency and Organ Transplantation – Urology, Andrology and Kidney Transplantation UnitUniversity of BariBariItaly
  2. 2.ASL BA – Day Surgery Service – “Fallacara” HospitalTriggiano, BariItaly

Personalised recommendations