Transrectal and transvaginal catheter drainages and aspirations for management of pelvic fluid collections: technique, technical success rates, and outcomes in 150 patients

Abstract

PURPOSE:To evaluate outcomes of image-guided transrectal/transvaginal (TR/TV) drainage for symptomatic pelvic fluid collections (SPFCs). MATERIALS AND METHODS:Single-center retrospective study of 150 consecutive patients (36 males, 114 females, average age 41 years) who underwent attempted TR/TV drainages of SPFCs during an 11-year, 5-month period. All patients presented with pain and had SPFCs with rectal or vaginal contact on preceding diagnostic CT. Routine technique included Foley catheter insertion, image-guidance with ultrasound and fluoroscopy, 18 g/20 cm Chiba needles, and Seldinger technique for catheter insertion. No anoscope or speculum was used. SPFCs causes were classified by etiology including: postoperative, 70 (47%), gynecologic, 49 (33%), and gastrointestinal, 31 (21%). Resolution of the SPFC without the need for surgical intervention,

Low-Dose CT Fluoroscopy-Guided Drainage of Deep Pelvic Fluid Collections after Colorectal Cancer Surgery: Technical Success, Clinical Outcome and Safety in 40 Patients

“…If such access is not possible due to the interposition of critical structures (e.g., arteries, nerves), a transperineal access can be used [22,23]. The main alternatives are the percutaneous transabdominal anterior or lateral approach-guided by ultrasound (US) or CT [24]-and the endoscopic US-guided approach [25][26][27].…”

Prostatic Abscess Secondary to Staphylococcus haemolyticus and Escherichia coli: A Case Report

“…The incidence of infectious complications after drainage is low and 89% success rates are reported [1,8]. Another single-center retrospective study of 150 consecutive patients with symptomatic pelvic fluid collections (SPFCs) showed a 95% technical success rate with drainage using ultrasound and coadjuvant fluoroscopy [9]. In our case, no fluoroscopy guidance was utilized.…”

Society of Interventional Radiology Quality Improvement Standards for Image-Guided Percutaneous Drainage and Aspiration of Abscesses and Fluid Collections

“…Catheters draining abscesses or fluid collections are typically anchored to the skin with the use of nonabsorbable suture or adhesive devices. Although there is limited evidence within the literature, and protocols may be institution-dependent (48,49), the consensus of the authors is that drainage catheters should be flushed every day with 5-10 mL normal saline solution to maintain patency of the catheter, as the fluid being drained is often highly viscous and prone to cause catheter obstruction. In addition, removal of the catheter may be considered when a sinogram or other imaging modality such as CT or US (50) demonstrates diminished collection size, the patient exhibits clinical improvement, and/or when the catheter drains < 10 mL for several days.…”