Bycroft J, Hamid R, Shah P J R
Institute of Urology and Nephrology, London, UK.
Spinal Cord. 2003 Nov;41(11):643-4. doi: 10.1038/sj.sc.3101523.
A case report of the complications of a spinal cord injury (SCI) patient alternating between indwelling urethral catheter and a condom drainage system for bladder management.
To highlight the importance of penile care for bladder drainage following SCI.
Spinal Injuries Unit, Stanmore, UK.
A 39-year-old male who sustained a lumbar level SCI in December 2000. He presented acutely with leakage of urine around his condom drainage device.
The examination revealed an eroded area on the ventral aspect of the proximal penile shaft, which corresponded to the site of condom attachment. An indwelling urethral catheter was inserted as a temporary measure before reconstruction.
At operation, in addition to the preoperatively observed area of erosion, the penile urethra was found to be cleaved for almost its entire length.
The patient had suffered two complications from a combination of two types of bladder management, and surgery was successful in treating both the urethral cleavage and the skin erosion.
一份脊髓损伤(SCI)患者在留置尿道导管和阴茎套引流系统之间交替进行膀胱管理时出现并发症的病例报告。
强调脊髓损伤后阴茎护理对膀胱引流的重要性。
英国斯坦莫尔脊髓损伤科。
一名39岁男性,于2000年12月发生腰椎水平脊髓损伤。他因阴茎套引流装置周围漏尿而急症就诊。
检查发现阴茎近端腹侧有一处糜烂区域,与阴茎套附着部位相对应。在重建手术前,插入留置尿道导管作为临时措施。
手术时,除术前观察到的糜烂区域外,还发现阴茎尿道几乎全长裂开。
该患者因两种膀胱管理方式的联合使用而出现了两种并发症,手术成功治疗了尿道裂开和皮肤糜烂。