suprapubic catheter


su·pra·pu·bic cath·e·ter

(sū'pră-pyū'bik kath'ĕ-tĕr) Urinary drainage device inserted into the bladder through the lower abdominal wall above the symphysis pubis. Indications include urethral trauma, vaginal surgery, or long-term catheterization.
SUPRAPUBIC CATHETER: used to drain urine

suprapubic catheter

A catheter that permits direct urinary drainage from the bladder through the lower abdominal wall from a surgically fashioned opening located just above the pubic symphysis. Suprapubic urinary diversion is typically but not exclusively used as a temporary means of decompressing the bladder when the urethra is obstructed, e.g., in children with congenital deformities of the penis or urethra, or in adults with bladder outlet obstruction. When it is used for this purpose, it is considered a bridge before definitive surgery. See: suprapubic aspiration of urine; illustration

Patient care

The nurse observes for hemorrhage or prolonged hematuria and signs of local or systemic infection. Aseptic technique is used during dressing or equipment changes. Bladder irrigation is performed as prescribed. Medications, e.g., analgesics, antispasmodics, and bowel stimulants, are administered as prescribed. The patient's ability to micturate is evaluated. Intake and output are monitored and recorded. Fluids are forced unless otherwise restricted to ensure passage of dilute urine.

See also: catheter