Reference no: EM133859804

Question

Preoperative diagnosis: Neurogenic bladder with urinary retention Postoperative diagnosis: Same Procedure: Bladder aspiration with suprapubic tube placement Blood Loss: < 10 mL Indications for procedure: This is a mentally challenged 49-year-old white male, who is currently a resident in a long-term care facility, and who presents today for placement of a suprapubic tube due to erosion of the Foley catheter drain in his neurogenic bladder. Procedure: The patient was brought to the operating room and placed in the supine position. Anesthesia was administered, and the patient was then moved to the dorsal lithotomy position. He was prepped and draped in normal sterile fashion after the Foley catheter was removed. A cystoscopy was used to explore the bladder for tumor or other foreign bodies. None were identified. The bladder was then filled with about 500 cc of sterile water, which allowed for identification of the tract needed to insert the Rauch suprapubic trocar. The skin was anesthetized with Marcaine and Lidocaine. A needle was then inserted through the lower abdominal wall into the bladder, and the trocar was advanced until the sheath of the trocar was in the bladder. A 16 French catheter was placed through the sheath into the bladder,