In most cases when urethral catheterization is not practical to be performed, a suprapubic cystostomy is a favored option.
During procedure of suprapubic cystostomy or vesicostomy, a surgically-created connection between the urinary bladder and the skin of the anterior abdominal wall, is made.
The catheter is inserted through a tract or skin-bladder connection and drains urine into a bag.
It is a well-tolerated procedure with minimal risk for complications like urinary tract infections, bladder stones, blood in urine, skin infections and catheter blockage.
Another possible alternatives for intermittent catheterization are implantation of the artificial urinary sphincter for control of urination and urethral prosthesis in the management of chronic urinary retention in women.
You may consult surgeon, specialized in urology or gynecologist!
Best wishes!
Marija