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The principal advantages of suprapubic drainage of the bladder compared with the transurethral indwelling catheter are to be seen in holding back ascending infection of the urinary tract and avoidance of urethral trauma. In addition to relieving the bladder in subvesical obstructions the most important indication in practise is continuous drainage of urine in patients in intensive care. With strict observation of puncture technique and contraindications (contracted bladder, tumors in the lower abdomen, bladder carcinoma, macrohematuria and hemorrhagic diathesis) the entire complication rate is 4.3% (2.3% macrohematuria, 1.5% local infection, 0.5% peritoneal lesion). With the introduction of the disposable puncture systems the suprapubic bladder fistula has become a superior alternative to the indwelling catheter in many cases.
F J Marx, and
E Schmiedt
May 1982,
La Nouvelle presse medicale,
F J Marx, and
E Schmiedt
September 1978,
Der Anaesthesist,
F J Marx, and
E Schmiedt
December 1979,
Ceskoslovenska gynekologie,
F J Marx, and
E Schmiedt
January 1980,
Intensivmedizinische Praxis,
F J Marx, and
E Schmiedt
January 1977,
Jugoslavenska ginekologija i opstetricija,
F J Marx, and
E Schmiedt
April 1972,
Ceskoslovenska gynekologie,
F J Marx, and
E Schmiedt
November 1978,
Der Urologe. Ausg. A,
F J Marx, and
E Schmiedt
November 1969,
Obstetrics and gynecology,
