Kim Edward D, Moty Ayham, Wilson D Douglas, Zeagler Deborah
Department of Surgery, Division of Urology, University of Tennessee Medical Center, Knoxville, Tennessee 37920, USA.
Urology. 2002 Jul;60(1):164. doi: 10.1016/s0090-4295(02)01657-6.
We present a unique case of an iatrogenic complete lower urinary tract obstruction with an expandable foam sealant. A 41-year-old man presented in urinary retention 36 hours after self-injecting his urethra with the foam sealant, which could be palpated throughout his entire urethra. The sealant was removed from the distal urethra in numerous fragments with a hemostat and cystoscopically. A perfect mold of the bladder and prostatic urethra were removed by suprapubic cystotomy. Cystoscopy 2 months later demonstrated a mild bulbar urethral stricture, but normal bladder mucosa. The cystoscopy at 6 months was normal.
我们报告了一例因可膨胀泡沫密封剂导致医源性完全性下尿路梗阻的独特病例。一名41岁男性在自行将泡沫密封剂注入尿道36小时后出现尿潴留，整个尿道均可触及该密封剂。用止血钳经尿道镜从尿道远端取出了许多碎片状的密封剂。通过耻骨上膀胱切开术完整取出了膀胱和前列腺尿道的密封剂铸型。2个月后的膀胱镜检查显示球部尿道轻度狭窄，但膀胱黏膜正常。6个月时的膀胱镜检查结果正常。
