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Dr. Brij Mohan Joshi

Associate Consultant - Urology & Robotic Surgery


Robotic Surgery, Urology

Gender: Male

Dr. Amit Kumar

Associate Consultant


Urology

Gender: Male

Dr. Swapnil Singh Kushwaha

Associate Consultant Department of Urology, Uro-Oncology, Robotics and Renal Transplant


Urology, Uro-Oncology, Robotic Surgery, Kidney Transplant

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Dr. Shabir Raja

Visiting Consultant


Urology

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Frequently Asked Questions

A suprapubic cystostomy is a surgical procedure that involves creating a small opening in the lower abdomen to access the urinary bladder.
It is performed to provide an alternative means of emptying the bladder in cases of urinary retention, bladder dysfunction, or after certain surgeries.
Unlike urinary catheterization, which enters the bladder through the urethra, a suprapubic cystostomy accesses the bladder through a surgically created opening in the abdomen.
Conditions such as spinal cord injuries, urinary retention, neurogenic bladder, or post-surgical bladder management may necessitate a suprapubic cystostomy.
It can be temporary or permanent, depending on the underlying condition and the patient's specific needs.
A urologist inserts the tube through a small incision made above the pubic bone and directly into the bladder.
Suprapubic cystostomy reduces the risk of urethral injury, may be more comfortable for some patients, and allows for continuous drainage of the bladder.
Yes, the tube is usually visible externally, allowing for easy access and care.
It is typically secured with a suture or other specialized devices to prevent dislodgment.
With proper care and precautions, patients can engage in normal activities, although swimming may require additional measures.
Complications may include infection, leakage, blockage, or tube displacement. Regular follow-up care helps monitor and prevent these issues.
Some patients may experience bladder spasms, which can be managed with medications prescribed by a healthcare provider.
The frequency of tube changes varies, but it typically occurs every 4-6 weeks to prevent encrustation and blockage.
In some cases, the tube can be removed when the patient's condition improves and normal bladder function is restored.
The site should be cleaned daily with mild soap and water, and sterile dressing changes should be performed according to a healthcare provider's instructions.
Yes, it is a viable long-term option for patients with chronic bladder issues.
UTIs can occur, so maintaining good hygiene and following infection prevention measures is essential.
Depending on the underlying condition, patients may still experience incontinence, but the device helps manage urinary retention.
Intermittent catheterization can still be performed if necessary, and healthcare providers can guide patients on how to do this safely.
Dietary restrictions vary but may include managing fluid intake to control bladder function and avoiding bladder irritants.
Yes, a healthcare provider can replace the tube if it becomes damaged, blocked, or otherwise dysfunctional.
It is typically done under local or regional anaesthesia, although the choice depends on the patient and the procedure.
Alternatives may include urethral catheterization, use of urinary appliances, or surgical interventions, depending on the specific condition.
Yes, it can be an effective method for relieving urinary retention in cases related to prostate enlargement or obstruction.
FAQs reviewed by Dr. Vijay Kumar, Director & Unit Head, Reconstructive & Laparoscopic Urology.