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Suprapubic cystostomy is a surgical procedure in which a catheter is inserted through an incision made above the pubic bone into the bladder to provide a route for urine drainage. This operation is typically performed when there is a need to bypass the urethra due to obstruction, injury, or disease. The procedure involves placing a catheter directly into the bladder through the abdominal wall, allowing urine to drain into an external collection bag. Suprapubic cystostomy is often indicated for conditions such as urethral strictures, prostate enlargement, bladder outlet obstruction, or trauma that makes normal urination difficult or impossible. It may also be used when long-term catheterization through the urethra is not feasible or has become problematic. Complications associated with suprapubic cystostomy can include infection at the insertion site, bleeding, or injury to surrounding organs. There is also a risk of catheter-related issues such as blockage, dislodgement, or leakage. Long-term complications might involve chronic irritation or infection of the bladder, skin issues around the stoma, or the development of bladder stones. Despite these risks, suprapubic cystostomy is a valuable procedure for managing severe urinary tract issues and providing a reliable method for urine drainage. Effective postoperative care, including regular monitoring and maintenance of the catheter and stoma, is essential for minimizing complications and ensuring optimal patient outcomes.