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tusp

Trans-Urethral Supra-Pubic Tube Guide (TUSP)

The TUSP was designed by Steven Ochs, a practicing urologist with Urology One in Canton, Ohio. 

Trans-Urethral Supra-Pubic Tube Guide – The TUSP is a reusable surgical tool designed to assist the urologist in placing suprapubic tubes using the retrograde technique. It addresses the shortcoming of the Lowsley retractor to provide a safer and more efficient placement of the suprapubic tube. The TUSP features a hollow shaft that will allow the passage of up to an 18F Foley following the removal of its cannulated end piece.

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Key Benefits

Easy to use, minimally invasive, retrograde approach when antegrade approach not feasible.

Surgical Technique for ColMed TUSPTM
Step One
Use an appropriate sterile catheter. Lubricate and confirm it fits within the TUSP cannula. Lubricate and screw the trocar tip into the distal end of the cannula until flush — it is secure with minimum finger tightening.
Step Two
Place the patient in lithotomy position and prep with appropriate sterilizing solution. Perform cystoscopy to survey the anatomy of the urethra and bladder. If there is risk of urethral trauma, consider pre-placement of a guide wire (<0.038 in). Determine the optimal location for the trocar to exit the abdominal wall, and mark.
Step Three
Place the TUSP retrograde through the urethra, into the bladder. For a male, place penis on stretch. While gently angulating the handle, palpate for the tip of the device near the exit mark.
Step Four
Make an incision in the skin approximate 1 cm above the tip. While maintaining deflection on the abdominal wall with the TUSP, dissect the intervening tissue with electro-cautery until trocar emerges from the incision. Continue to push the trocar through incision about 5 cm. Remove the trocar tip and leave the cannula above the incision a few cm.
Step Five
Guide the lubricated catheter into the cannula about 25 cm (10 in) until it appears at the handle opening. If catheter buckles while advancing, push on it closer to the entry of the cannula.
Step Six
While holding the catheter at incision site, slowly withdrawal the TUSP from the urethra. Then using cystoscopic guidance retrograde through urethra, withdraw the catheter tip retrograde into the bladder by pulling externally above the incision site.
Step Six
Step Seven
Once the catheter is within the bladder lumen, inflate the balloon to recommended volume. Then gently approximate the balloon against the anterior bladder wall. Secure the catheter externally with a suture.
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Method of Use

Method of Use

Surgical Technique for ColMed TUSPTM
Step One
Use an appropriate sterile catheter. Lubricate and confirm it fits within the TUSP cannula. Lubricate and screw the trocar tip into the distal end of the cannula until flush — it is secure with minimum finger tightening.
Step Two
Place the patient in lithotomy position and prep with appropriate sterilizing solution. Perform cystoscopy to survey the anatomy of the urethra and bladder. If there is risk of urethral trauma, consider pre-placement of a guide wire (<0.038 in). Determine the optimal location for the trocar to exit the abdominal wall, and mark.
Step Three
Place the TUSP retrograde through the urethra, into the bladder. For a male, place penis on stretch. While gently angulating the handle, palpate for the tip of the device near the exit mark.
Step Four
Make an incision in the skin approximate 1 cm above the tip. While maintaining deflection on the abdominal wall with the TUSP, dissect the intervening tissue with electro-cautery until trocar emerges from the incision. Continue to push the trocar through incision about 5 cm. Remove the trocar tip and leave the cannula above the incision a few cm.
Step Five
Guide the lubricated catheter into the cannula about 25 cm (10 in) until it appears at the handle opening. If catheter buckles while advancing, push on it closer to the entry of the cannula.
Step Six
While holding the catheter at incision site, slowly withdrawal the TUSP from the urethra. Then using cystoscopic guidance retrograde through urethra, withdraw the catheter tip retrograde into the bladder by pulling externally above the incision site.
Step Six
Step Seven
Once the catheter is within the bladder lumen, inflate the balloon to recommended volume. Then gently approximate the balloon against the anterior bladder wall. Secure the catheter externally with a suture.
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Features Overview

High Quality Material

Surgical Stainless Steel

Long-lasting

Sterilizable, reusable

TUSPTM Features

a patent-pending “soft dimple-thread," which permits the smallest size cannula (23.8 Fr) to be used with the largest sized catheter (21.5 Fr)

Pricing

$1,799 per unit

$50 for shipping

SKU # 2201

 

Retrograde incisional placement of SPT has higher RVU’s than punch type placement. Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

1,2,3 cms.gov

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