Suprapubic Catheterization (SPC) by Dr. S K Palash
For individuals dealing with urinary retention, bladder issues, or recovering from major urological surgeries, effective bladder drainage is crucial. One of the most reliable and patient-friendly options is Suprapubic Catheterization (SPC) — a minimally invasive procedure that offers both comfort and long-term relief.
Dr. S.K. Palash, a leading Urologist & Andrologist in Baner, Pune, offers safe, painless SPC insertion, emergency catheter care, and follow-up management for patients requiring bladder support.
What is Suprapubic Catheterization (SPC)?
SPC is a procedure where a catheter (a soft, flexible tube) is inserted directly into the bladder through the lower abdomen, just above the pubic bone. This catheter allows continuous drainage of urine when normal urination is not possible or advisable.
When is SPC Recommended?
SPC is typically advised in the following situations:
Urethral catheterization is not possible (due to injury, trauma, or stricture)
Long-term bladder drainage is required
After major urological surgeries (such as prostate or bladder surgeries)
Patients with neurogenic bladder (due to spinal cord injury, multiple sclerosis, etc.)
Chronic catheter users who need better hygiene and comfort
How is the SPC Inserted?
The procedure is usually done under local or general anesthesia and involves:
Making a small incision in the lower abdomen
Using ultrasound or cystoscopic guidance to ensure accurate placement
Inserting a catheter into the bladder through the incision
Securing the catheter and connecting it to a drainage bag
It’s a quick and minimally invasive procedure, typically performed in a clinical setting.
Is SPC a Painful Procedure?
No. SPC is generally well tolerated. Local anesthesia or mild sedation ensures that the patient feels minimal or no pain during the insertion. Most people report only mild discomfort afterward, which subsides quickly.
How Long Can the SPC Stay In?
The duration depends on the underlying condition:
For short-term use, the catheter may stay for a few days to a few weeks
For long-term use, it is typically changed every 3 to 6 weeks to maintain hygiene and prevent complications
Advantages of SPC Over Urethral Catheterization
Suprapubic catheterization offers several benefits, especially for long-term users:
Reduced risk of urethral injury and infections
Improved patient mobility and comfort
More hygienic and easier to manage
Does not interfere with sexual activity
Better option for chronic bladder management
Home Care Tips for SPC Users
Proper care ensures a smooth experience with SPC. Here are some tips:
Clean the area around the catheter daily using a mild antiseptic
Avoid tugging or twisting the catheter
Keep the drainage bag lower than the bladder to promote proper flow
Monitor for signs of infection (redness, swelling, fever, or foul-smelling urine)
Empty the urine bag regularly
Schedule routine catheter changes with your urologist
Possible Complications of SPC
While SPC is generally safe, complications can occasionally occur:
Urinary tract or insertion site infection
Bleeding around the insertion site
Catheter blockage or accidental dislodgement
In rare cases, injury to internal organs (extremely uncommon with skilled hands)
Dr. S.K. Palash takes utmost care to ensure SPC is placed safely and managed correctly to prevent such issues.
Can I Still Urinate Normally With an SPC?
In some cases, yes. If your urethra is open and your bladder retains some function, you may still pass small amounts of urine naturally. The SPC helps drain the remaining urine, reducing pressure and risk of infection.
When Should You Seek Immediate Medical Help?
Contact your urologist if you notice:
Pain, swelling, or redness around the insertion site
Fever or foul-smelling, cloudy urine
Urine leaking around the catheter
Blocked or dislodged catheter
Blood in the urine
Timely intervention can prevent complications.
Need Safe and Reliable SPC Care?
Whether you require emergency SPC insertion, catheter replacement, or ongoing management, you’re in safe hands with Dr. S.K. Palash. With extensive experience in urological and andrological care, he ensures a safe, painless, and patient-friendly experience.
Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.
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