Suprapubic Cystotomy

Suprapubic cystotomy is a simple but practical means of bladder drainage in the postoperative gynecologic surgical patient. The two technics described here are open direct cystotomy in the abdominal procedure and blind transabdominal cystotomy in the vaginal procedure. These approaches reduce morbidity, use of sedation, need for antibiotics, postoperative nursing care, and hospitalization time.