Modified technique for suprapubic catheter insertion that avoids urinary leakage

When a large bore suprapubic catheter, such as a Foley catheter, is required for postoperative drainage of the bladder, nearly 10% of patients experience urinary leakage. We describe a novel technique involving the tubularization of the bladder during large bore suprapubic catheter placement to prevent urinary leakage while the catheter is in place and after its removal. (Am J Obstet Gynecol 2003;189:1670-1.)