438 / 492
ICCS S1-10
(P)
COMPLICATIONS OF SUPRAPUBIC LINE INSERTION FOR VIDEO-
CYSTOMETROGRAMS
Pankaj MISHRA, Tariq BURKI, Kalpana PATIL, Massimo GARRIBOLI and Arash TAGHIZADEH
Evelina London Children's Hospital, Department of Paedaitric Urology, London, UNITED KINGDOM
PURPOSE
Insertion of suprapubic lines (SPL) for video-cystometrogram (VCMG) is an invasive procedure with the potential for
serious complications. We are not aware of a published benchmark for complications. We review our results.
MATERIAL AND METHODS
A retrospective case not review was performed of patients undergoing VCMG between October 2008 and July 2014. Two
5 Fr supra pubic lines were inserted under general anaesthesia as a day case procedure four days prior to urodynamics.
RESULTS
65 patients were identified. Median age at SPL insertion was 7.1 years (range 10 months to 18 years). VCMG were
successfully completed in all. Significant complications were experienced by 2 children (3.1%): severe urinary
extravasation requiring the insertion of a urethral catheter in one, and difficulty voiding requiring admission on
another. More minor complications were experienced by 12 children (18.5%): 4 (6.2%) had mild self- limiting
extravasation, 4 had increased urinary frequency or urgency, 3 (4.6%) had difficulty voiding, and 1 (1.5%) had
significant pain and incontinence. No patient required a return to theatre or developed urinary infection.
CONCLUSIONS
Despite the potential for hazard, SPL insertion for VCMG can be performed with an acceptable complication rate. This
study provides new and useful information for counselling parents and patients, and contributes to setting standard
against which practice can be measured.