Treatment and prevention of the early complications of paracentetic suprapubic cystostomy in 74 cases

Purpose:To study the cause and prevention of the early complications of paracentetic suprapubic cystostomy.Methods:Paracentetic suprapubic cystostomy was operated in local anesthesia in 1600 cases, 74 patients had complication. Injured to abdominal cavity happened in 3 cases, hemorrhage and hematoma in 7 cases, urecchysis in 18 cases, transform operating fistulization needed in 5 cases,drainage-tube came off in 3 cases, irritation sign of bladder was found in 32 cases and 6 cases had infection. All were treated by different ways.Results:All patients with complication were cured or improved by different means.Conclusions:The reasons of early complications of paracentetic suprapubic cystostomy included anatomical abnormity?operative error?inadequate preoperative preparation and irritation by catheter. Most of these complication could be prevented and cured by accurate operation,adequate preoperative preparation,close postoperative observation and timely treatment.