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Chapter 3 Urinary Bladder and Prostate
Step 9: Suprapubic and urethral catheter insertion
a
b
A suprapubic catheter can be inserted through the inner ring of the Triport depending on the amount of bleeding. The balloon is inflated and the Triport can be removed. Step 9a shows the suprapubic and the urethral catheter, which are left for the postoperative management of the patient. The diameter of the Triport ring is large enough
Postoperative Management
for insertion of the suprapubic catheter balloon (Step 9b). Thus, correct placement of the catheter inside the bladder can be ensured. The stay sutures on the bladder wall can be tied along with any additional sutures, providing a watertight closure of the bladder incision.
!" A suprapubic catheter remains in place for 2–3 days !" The Foley catheter is removed on the 6th postoperative day
References 1. Sotelo R, Spaliviero M, Garcia-Segui A, Novoa J, Desai MM, Kaouk JH, Gill IS (2005) Laparoscopic retropubic simple prostatectomy. J Urol 173:757–760 2. Sotelo R, Clavijo R, Carmona O et al (2008) Robotic simple prostatectomy. J Urol 179:513–515 3. Rane A, Rao P, Rao P (2008) Clinical evaluation of a novel laparoscopic port (R-Port) in urology and evolution of the single laparoscopic port procedures (SLIPP) and one port umbilical surgery (OPUS). Eur Urol Suppl 7:193 4. Sotelo R, Astigueta J, Desai M, Canes D et al (2009) Laparoendoscopic single-site surgery simple prostatectomy: initial report. Urology 74:626–630 5. Desai M, Aron M, Canes D, Fareed K, et al. (2008) Single-port transvesical simple prostatectomy: initial clinical report. Urology 72: 960–965