Special Surgical Procedures II
LESSON 3: Procedures in Genitourinary Surgery
Section Iv: operations on the bladder and prostate
3-23
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 The trocar obturator is withdrawn, and a catheter is passed into the bladder over the catheter guide. The cannula is withdrawn, and the catheter is sutured to the wound edges.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.
