The difference of three paracentetic suprapubic cyctostomics in 44 cases

Objective:To investigate the the pros and cons of the clinical-commonly used Paracentetic suprapubic cystostomy method of fistula and its points requiring attention. Methods:Paracentetic suprapubic cystostomy was operated in local anesthesia in 44 cases, 16 patients used bladder puncture outfit made of three parts, 19 patients used disposable puncture outfit, 9 patients used percutaneous renal puncture outfit. Then the difference in operation time, cost price and complication were analyzed between cases. Results:All cases’operation were successfully completed. Complications occurred in 15 cases times, with only one case of serious complications. After due treatment all complication cases were cured or improved. The average time of surgery in group with three sets was (10 ±2.3) min, slightly higher than that in one-time group (6 ±1.4) min, but the cost of the former was significantly lower than the latter (P0.05); whereas the average surgery time in group of percutaneous renal surgery was the longest, but the complications were significantly less than the other groups (P0.05). Conclusions: The opration used with bladder puncture outfit made of three parts cost the shortest time and least money, and cause less complication. It is most safe to use the percutaneous renal puncture outfit. And Paracentetic suprapubic cystostomy method is a safe and effective treatment when it accompanied with full preoperative preparation, standardized operation, close postoperative follow-up.