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suprapubic bladder drainage through the abdominal wall is an alternative to transurethral bladder drainage systofix puncture sets are available in different shapes and sizes with either a polyurethane pigtail catheter with its side clamp or a silicone catheter with integrated balloon and a red spigot systofix puncture sets include a metallic splittable puncture cannula with its protective sheath the set may also include a red catheter stopper or a two liter urine bag depending on the reference during the preparation phase fill two syringes one for anesthetic injection and another for the balloon inflation if a silicone balloon catheter is used the red spigot or a urine bag is connected to the catheter the perforation is realized two to three centimeters above the pubic bone in the median line the bladder must be full with at least 300 milliliters of liquid the puncture cannot be performed if the bladder is empty otherwise there could be a bowel injury during the perforation at the star
