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- Title
Pediatric suprapubic urinary diversion in acute urinary retention. An easy, fast and feverish technique.
- Authors
Abidi, Syed Saeed; Vyskubov, Denis; Yousuf, Mohd; Khawar, Owais; Feroz, Irfan; Aslam, Mohd
- Abstract
Objective: Suprapubic urinary diversion in children is a provoking assignment for pediatric emergency department. Here we describe a simple and reproducible way to tackle this problem, that is safe, less traumatic, and durable that can be perform without ultrasound guidance. Study design: Descriptive case series Place and duration of study: It's a single center study that was conducted from June 2012 to May 2014, at Abbasi Shaheed Hospital, Karachi Medical and Dental College. Patients and methods: Children presented with acute urinary retention, and had failed attempt of urethral catheterization were enrolled. Patients were divided into two groups based on clinical findings. The primary end point was complication free suprapubic diversion and secondary end point was comparing of procedure outcome in two groups. Complications were assessed with Modified Clavien classification. Differences in adverse events among two groups were tested with Fisher's exact test. Results: A total of 40 patients were managed by modified method. Beside two failures, there were no intra-operative complications. Follow up pain scale was very low, hematuria, port bleeding, urinary extravasation were nil. The incidence of pain, fever, port infection and extended hospital stay was based on patient's presentation and high in group B. Conclusion: Supra pubic urinary diversion by using this modified method is a safe procedure. It is easy to perform, quick and durable with fewer chances of blockage and displacement. It has considerably low morbidity and can be performed without supervision.
- Subjects
URINARY diversion; URINARY organ surgery; RETENTION of urine; URINARY catheterization; URINATION disorders
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 1, p78
- ISSN
0258-8552
- Publication type
Article