ABSTRACT
This chapter provides information for performing suprapubic aspiration/catheterization. It begins with a case scenario of a 59-year-old man, who’s presents with benign prostatic hypertrophy and failed urinary catheterization with a coude catheter. The chapter then includes details on indications, contraindications, and information about supplies and technique. Pearls and pitfalls are also incorporated, providing additional insights and practical advice not always available in other textbooks or articles." In patients with an inadequately distended bladder, there is a higher risk of bowel injury. If the bowel is entered, use a new spinal needle and attempt insertion into the bladder from different site. Begin broad-spectrum antibiotics and monitor for peritonitis. If bleeding is encountered during catheter insertion, it usually dissipates. If bleeding persists, consult urology.
