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TheSuprapubicCatheterconnectstoadrainagebagwithatapatthebottomwhichenablesthebagtobeemptiedquantityandqualitySuprapubicaspirateisthe goldstandardforobtainingurinespecimensforcultureinchildrenunderyears.Collectionofsterileurineforurinalysisandculture(avoidingurethralcontamination). Collectionofsterileurineforurinalysisandculture(avoidingurethralSuprapubicPunctureFreedownloadasPowerpointPresentationppt/pptx),PDFFilepdf), TextFiletxt)orviewpresentationslidesonlineLaterinlife,itmovesdownintothebonypelvisandassumesaretropubicpositionSuprapubicbladderaspirationis performedtoobtainasterileurinesamplefromchildrenwhentheurethracannotbeadequatelyvisualized,suchasingirlswithlabialadhesionsorlabialedema HelpfulHintsforChronicSuprapubicTubeUseKeepthetubeandtheconnectiontothedrainagebagfreeofdebrisandascleanaspossiblePracticegoodhygiene techniqueswithspecialattentiontobowelfunctionandavoidanceofconstipationandfecalsoilageChangethesuprapubictube(HomeHealthorinthephysician's office)atSUPRAPUBICPUNCTUREINTHETREATMENTOFNEUROGENICBLADDER.suprapubicpunctureASuprapubicCatheterorSPCisasmall flexibletubethatisinsertedthroughtheabdominalwallandintothebladder.Itispreferabletocatheterizationinamalepatientwithatightforeskinandinafemale patientwhentheurethralmeatuscannotbevisualizedSuprapubicaspirationofurineisasimpleandsafetechniqueforobtaininganuncontaminatedspecimenof urineinchildrenSPAistheurinecollectionmethodwiththelowestcontaminationrateininfants(1%)comparedtoin-outcatheterspecimens(12%)andcleancatchurines(upto%),2,3ItistypicallyusedasaSuprapubicbladderaspirationSuprapubicaspirateisasimple,safe,rapidandeffectiveprocedureTheuseof ultrasoundincreasesthesuccessoftheprocedureAnygrowthofpathogenicbacteriainanSPAspecimenisfelttobesignificantSuprapubicbladderaspirationis theintroductionofaneedlethroughtheSuprapubicaspirationisaproceduretotakeaurinesample[1]SterileurineaspirationSuprapubicaspirationofurineisa simpleandsafetechniqueforobtaininganuncontaminatedspecimenofurineinchildrenSPAistheurinecollectionmethodwithSuprapubicaspirationisobtaininga urinesampleusinganeedleinsertedintothebladderinthesuprapubicregion,typicallytoobtainanuncontaminatedurinesampleforculture 10/06/PERCUTANEOUSSUPRAPUBICPUNCTURE–Indication,MethodandComplicationsCHARLESCHIGGINS,MDWJAMESGARDNER, MDWMANOSIK,MDThetreatmentof"cordbladder",adisturbanceofbladderfunctionfromdiseaseortraumaofthespinalcord,canbeadifficult problemKeypointsDownloadchapterPDFIndicationsSterileurineaspirationDownloadchapterPDFIndicationsAnunderstandingofanatomyisessentialto thisprocedureInofthesestudies,suprapubiccatheterisationwasmovedfromaninpatienttoanoutpatientThegoalofsuprapubicaspirationistocannulatethe urinarybladderwithaneedleforurinecollectionItallowsurinetopassoutsidethebodywithouttravellingdowntheurethraCollectionofsterileurineinachild withgastroenteritisandfrequentdiarrhealstoolsSuprapubicbladderaspirationisthestandardprocedureforobtainingaurinespecimenforcultureinapatient youngerthanmonthsItinvolvesputtinganeedlethroughtheskinjustabovethepubicboneintothebladderInchildrenandneonates,theurinarybladderisan abdominalorganBackgroundSuprapubicbladderaspirationThreenon-comparativestudiessuggestthatsuprapubiccatheterisationusingtheS-CathSystemisa safeprocedurewhencarriedoutunderappropriateconditionsinadedicatedoutpatientclinic,withlowcomplicationrates