Ke Hung-Lung, Lin Hung-Yu, Jang Mei-Yu, Wu Wen-Jeng
Department of Urology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2006 May;22(5):243-6. doi: 10.1016/S1607-551X(09)70243-8.
Neurogenic bladder is a familiar sequel to spinal cord injury, and bladder calculi is a common complication of neurogenic bladder. We report a case of a 25-year-old man with spinal cord injury resulting in neurogenic bladder. Permanent cystostomy was performed, and, for 4 years, the patient received periodic replacement of a cystostomy catheter. Bladder calculi were found on follow-up radiography. Cystoscopic lithotripsy was done, and it was noted that a hair was the nidus of a calculus. The hair could have been introduced into the bladder accidentally during the cystostomy catheter replacement. We suggest routine pubic hair care, even shaving, for patients suffering from neurogenic bladder with cystostomy. In addition, patients and caregivers should take care not to introduce pubic hair into the bladder while changing cystostomy catheters.
神经源性膀胱是脊髓损伤常见的后遗症，而膀胱结石是神经源性膀胱的常见并发症。我们报告一例25岁男性因脊髓损伤导致神经源性膀胱的病例。患者接受了永久性膀胱造瘘术，4年来定期更换膀胱造瘘导管。随访X线检查发现膀胱结石。进行了膀胱镜碎石术，发现结石的核心是一根毛发。这根毛发可能是在更换膀胱造瘘导管时意外进入膀胱的。我们建议对患有神经源性膀胱并接受膀胱造瘘术的患者进行常规阴毛护理，甚至剃毛。此外，患者及其护理人员在更换膀胱造瘘导管时应注意避免将阴毛带入膀胱。
