Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Libyan J Med. 2010 Nov 25;5. doi: 10.3402/ljm.v5i0.5686.
Urinary bladder catheter encrustations are known complications of long-term urinary catheterisation, which is commonly seen in clinical practice. These encrustations can impede deflation of the balloon and therefore cause problems in the removal of the catheter. The options in managing an encrusted and incarcerated urinary bladder catheter include extracorporeal shock wave lithotripsy and lithoclast. We describe here another technique of dealing with a stuck and encrustated catheter, via direct crushing of the encrustations with a rigid cystoscope inserted through a suprapubic cystostomy tract.
膀胱导管结石是长期留置导尿管的已知并发症，在临床实践中很常见。这些结石会阻碍气囊放气，因此导致导管拔出困难。处理嵌顿性和包裹性膀胱导管的方法包括体外冲击波碎石和碎石器。我们在此描述另一种处理嵌顿性和包裹性导管的技术，通过经耻骨上膀胱造瘘管插入硬性膀胱镜直接粉碎结石。
