Special Surgical Procedures II

LESSON 3: Procedures in Genitourinary Surgery

Section Iv: operations on the bladder and prostate


3-23

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3-23. TROCAR CYSTOSTOMY

 

a. General. This operation consists of opening the bladder, drainage by blind puncture using needles or trocar, and insertion of a catheter.

 

b. Operative Procedure. The skin at the site of the puncture is nicked with the scalpel, and the trocar is inserted into the bladder (see figure 3-8). The trocar obturator is withdrawn, and a catheter is passed into the bladder over the catheter guide. The cannula is withdrawn, and the catheter is sutured to the wound edges. The wound is dressed.

 

Figure 3-8. Trocar cystostomy.

 

 

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