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脊髓损伤中的阴茎糜烂——一个重要教训。

Penile erosion in spinal cord injury--an important lesson.

作者信息

Bycroft J, Hamid R, Shah P J R

机构信息

Institute of Urology and Nephrology, London, UK.

出版信息

Spinal Cord. 2003 Nov;41(11):643-4. doi: 10.1038/sj.sc.3101523.

DOI:10.1038/sj.sc.3101523
PMID:14569266
Abstract

STUDY DESIGN

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.

OBJECTIVE

To highlight the importance of penile care for bladder drainage following SCI.

SETTING

Spinal Injuries Unit, Stanmore, UK.

SUBJECT

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.

MAIN OUTCOME MEASURE

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.

RESULT

At operation, in addition to the preoperatively observed area of erosion, the penile urethra was found to be cleaved for almost its entire length.

CONCLUSIONS

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.

摘要

研究设计

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。

目的

强调脊髓损伤后阴茎护理对膀胱引流的重要性。

地点

英国斯坦莫尔脊髓损伤科。

研究对象

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。

主要观察指标

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。

结果

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。

结论

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。

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Penile erosion in spinal cord injury--an important lesson.脊髓损伤中的阴茎糜烂——一个重要教训。
Spinal Cord. 2003 Nov;41(11):643-4. doi: 10.1038/sj.sc.3101523.
2
Erosion of urethra in female patients with spinal cord injury.脊髓损伤女性患者的尿道侵蚀
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Complication of penile sheath drainage in a spinal cord injury patient: calculus impacting in the urethra proximal to the rim of a condom.一名脊髓损伤患者阴茎套引流的并发症:结石嵌顿于避孕套边缘近端的尿道。
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引用本文的文献

1
Penile Erosion in a Paraplegic Man With Indwelling Urinary Catheter and Scrotal Edema.一名留置导尿管的截瘫男性患者出现阴茎糜烂及阴囊水肿。
Urol Case Rep. 2017 Mar 28;12:62-63. doi: 10.1016/j.eucr.2017.03.001. eCollection 2017 May.
2
Longitudinal cleavage of the penis in chronic spinal cord injury: two case reports.慢性脊髓损伤患者阴茎纵向裂开:两例报告
J Spinal Cord Med. 2016 May;39(3):366-9. doi: 10.1179/2045772315Y.0000000036. Epub 2015 Jun 25.