Superapubic Aspiration of Urine by Dr. Rakeshkumar S. Gujar. MS(Ay.), (PhD)(Ay.), MSc-CND

Videography: Praveenkumar Mudhol. Patient History: This procedure was done as emergency procedure in the acute retention of Urine because of the obstructed Vesical Calculi in the urethra since approximately 24 hours and the patient was under severe pain. After the procedure, the patient was absolutely fine and was referred to the Urologist for further management. Suprapubic aspiration and catheterization is a procedure to obtain uncontaminated urine from the urinary bladder. It is easy to perform in the emergency department and is associated with minimal complications. Huze and Beeson first published this practice in 1956 as an alternative to more traditional methods of obtaining urine for analysis and culture.Their findings suggested that suprapubic catheterization and aspiration was superior to clean-catch or transurethral (via catheterization) collection of bladder urine for bacteriologic study. The sensitivity of the aspirated urine for bacteriuria on urinalysis approaches 100% and is rarely associated with contamination. In a study comparing contamination rates of various urine collection methods for children less than 24 months old, suprapubic catheterization had a contamination rate of 1% compared to 26% for clean-catch and 12% for catheterized specimens. Ref.: https://emedicine.medscape.com/articl...