Percutaneous Suprapubic Catheter Placement
Suprapubic catheter placement is not safe unless at least 350 mL of fluid is present in the bladder, since bowel perforation during the blind placement of the trocar can easily occur if the bladder is not distended. There are slight variations among the major brands of suprapubic tube placement kits. It is essential that the instructions and parts of a particular kit be reviewed prior to catheter placement. Use of a kit will facilitate placement. A certain amount of hematuria is always expected with suprapubic catheter placement. Rarely is the hematuria significant. If, however, the hematuria is such that the SP tube appears to have clotted off then catheter irrigation with sterile saline may be attempted.