Effect of Suprapubic Cystostomy in Urogenital Trauma- A Study of 100 Cases

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Nadia Farzana Islam
Raquib Mohammad Manzur
Farhana Salam

Abstract

Background: Suprapubic cystostomy is an essential emergency procedure for urogenital trauma, particularly urethral injuries, providing significant patient relief. This study aimed to find out the different patterns of complications and immediate outcome in patients who undergo suprapubic cystostomy for urogenital trauma in the casualty block of Dhaka Medical College Hospital. Methods: This prospective type of observational study has been carried out on 100 patients having urogenital injury requiring suprapubic cystostomy, admitted in casualty block of Dhaka Medical College Hospital. Results: The ages of patients in our study ranged from 5 to 70 years, with the highest incidence in the 16-30 age group. Of the 100 patients, 90 were male. The primary mode of injury was motor vehicle accidents (55%), followed by falls (40%), with minor cases of iatrogenic injuries (2%), gunshot wounds (1%), and others (2%). Injury types included only urethral injury in 68% of cases, bladder injury in 12%, and both in 20%. Suprapubic cystostomy was performed via the open method in 68% of cases and percutaneous method in 32%. While over half of the procedures went smoothly, difficulties were noted, including bladder identification (16%), catheter introduction issues (11%), and balloon inflation outside the bladder (7%). Post-operative complications included wound infection (4%), hematuria (10%), and urinary leakage (6%). Patients with urethral injuries required long-term SPC drainage and experienced delayed complications such as urinary tract infections (38.63%) and skin excoriation (5.68%). Conclusion: Young aged people are more vulnerable to urogenital trauma and suprapubic cystostomy can play a major role as a safer, effective emergency procedure to manage the patients. 

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1.
Islam NF, Raquib Mohammad Manzur, Farhana Salam. Effect of Suprapubic Cystostomy in Urogenital Trauma- A Study of 100 Cases. TAJ. 2014;27(2):32-38. doi:10.70818/taj.v027.i02.0385
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How to Cite

1.
Islam NF, Raquib Mohammad Manzur, Farhana Salam. Effect of Suprapubic Cystostomy in Urogenital Trauma- A Study of 100 Cases. TAJ. 2014;27(2):32-38. doi:10.70818/taj.v027.i02.0385

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