{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:33:37Z","timestamp":1790627617467,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,4,10]],"date-time":"2022-04-10T00:00:00Z","timestamp":1649548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the risks and long\u2010term outcomes of suprapubic catheter (SPC) insertion in a population predominantly with spinal cord injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We used the theatre database at the National Spinal Injuries Centre in Stoke Mandeville Hospital to identify 1000 consecutive SPC insertions from 1998 to 2015. We retrospectively analysed all records for these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Follow\u2010up ranged from 4\u2009weeks to 16.45\u2009years (median 3.3\u2009years). Either cystoscopy\u2010guided suprapubic puncture (Lawrence Add\u2010a\u2010Cath trochar) or a direct incision onto a urethral sound (Lowsley retractor) followed by cystoscopy was used for 98% of insertions. Complications graded as Clavien\u2013Dindo IIIb or higher occurred in 0.6% of patients. Return to theatre was necessary in 0.4%, including three laparotomies due to bleeding or misplacement of the catheter, but no bowel injuries occurred. One death occurred within 30\u2009days due to pulmonary embolism. There were no significant differences in outcomes between insertion methods. Tolerance of long\u2010term suprapubic catheterisation was high, despite 59% of cases experiencing mostly minor complications. Tract losses during routine community change and variability in antibiotic prescribing highlighted areas for educational development which could improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study supports the view that the risk of major complications from SPC insertion is lower than previously reported. Minor complications related to the catheter are common in the long term but are generally well tolerated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15727","type":"journal-article","created":{"date-parts":[[2022,3,13]],"date-time":"2022-03-13T10:53:36Z","timestamp":1647168816000},"page":"760-767","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Suprapubic catheterisation: a study of 1000 elective procedures"],"prefix":"10.1111","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6135-6885","authenticated-orcid":false,"given":"Catherine","family":"Hobbs","sequence":"first","affiliation":[{"name":"Department of Urology Churchill Hospital Oxford University NHS Foundation Trust  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Howles","sequence":"additional","affiliation":[{"name":"Department of Urology Churchill Hospital Oxford University NHS Foundation Trust  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadel","family":"Derry","sequence":"additional","affiliation":[{"name":"National Spinal Injuries Centre Stoke Mandeville Hospital Buckinghamshire Healthcare NHS Trust  Aylesbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Reynard","sequence":"additional","affiliation":[{"name":"Department of Urology Churchill Hospital Oxford University NHS Foundation Trust  Oxford UK"},{"name":"National Spinal Injuries Centre Stoke Mandeville Hospital Buckinghamshire Healthcare NHS Trust  Aylesbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588406X95101"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100536"},{"key":"e_1_2_8_4_1","unstructured":"National Patient Safety Agency.Rapid Response Report NPSA\/2009\/RRR005: Minimising risks of suprapubic catheter insertion (adults only).2009. Available at:http:\/\/www.nrls.npsa.nhs.uk\/resources\/type\/alerts\/?entryid45=61917. Accessed August 2016"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.08125.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.4520"},{"issue":"1","key":"e_1_2_8_7_1","first-page":"53","article-title":"Suprapubic catheter insertion in spinal cord injured patients \u2013 A challenging procedure","volume":"16","author":"Burki JR","year":"2011","journal-title":"Top Spinal Cord Inj Rehabil"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.07.1393"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588412X13373405385412"},{"key":"e_1_2_8_10_1","unstructured":"JelskiJ ChengX MeekinF MacCormickA MacDonaghR.Suprapubic catheter clinic. Poster P05: presented at the 19th Annual UK Continence Society Conference 2013 Bradford UK. Available at:https:\/\/irp\u2010cdn.multiscreensite.com\/4148aa48\/files\/uploaded\/Musgrove%20Park%20Poster%20Presentation%20from%20UKCS.pdf. Accessed September 2020"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.109977"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22812"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24114"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15123"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22356"},{"key":"e_1_2_8_16_1","unstructured":"Insertion of a Suprapubic Catheter.Information about your procedure from The British Association of Urological Surgeons (BAUS). Leaflet No: 16\/035.2020. Available at:http:\/\/www.baus.org.uk\/_userfiles\/pages\/files\/Patients\/Leaflets\/Suprapubic.pdf. Accessed September 2020"},{"key":"e_1_2_8_17_1","volume-title":"S\u2010Cath System for Suprapubic Catheterisation","author":"National Institute for Health and Care Excellence","year":"2016"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09762.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2016.0343"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00517-2"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-050728"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41394-020-0302-9"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-021-00651-3"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101854"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100767"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)49366-9"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010021\u201003802\u20106"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000076700.00853.ad"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15406"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15727","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bju.15727","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15727","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:49:52Z","timestamp":1761734992000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.15727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,10]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/bju.15727"],"URL":"https:\/\/doi.org\/10.1111\/bju.15727","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,10]]},"assertion":[{"value":"2021-09-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}