Trocar cystostomy

Trocar cystostomy is a minimally invasive procedure in which a special catheter (cystostomy tube) is inserted into the urinary bladder through a small puncture of the abdominal wall to drain urine. The procedure is used in cases of acute or chronic urinary retention when standard urethral catheterization is not possible.

When is trocar cystostomy indicated?

• In acute or chronic urinary retention (for example, due to prostate adenoma).
• When urethral catheterization is impossible (urethral stricture, trauma, tumors).
• In neurogenic bladder dysfunction.
• In the postoperative period after complex urological interventions.
• For long-term bladder drainage in severely ill patients.

How is the procedure performed?

1. Diagnostics and preparation – ultrasound examination of the urinary bladder and laboratory tests are performed to assess the patient’s condition.
2. Anesthesia – local anesthesia is usually sufficient.
3. Bladder puncture – a trocar is introduced through a small puncture of the anterior abdominal wall.
4. Cystostomy placement – a catheter is inserted into the bladder to ensure urine drainage.
5. Post-procedure monitoring – control of catheter function and bladder condition.

Main advantages of trocar cystostomy in Belarus

• Minimally invasive technique without large incisions.
• Rapid performance – usually takes no more than 15–20 minutes.
• Can be used in emergency situations.
• Provides patient comfort when long-term urinary drainage is required.
• Low risk of infectious complications with proper care.

The procedure is performed in leading urological clinics in Belarus using modern techniques and under the supervision of experienced specialists. Patients receive high-quality medical care, minimal procedural trauma, and effective recovery.