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阴茎头部钙化防御中慢性尿潴留的管理

Management of chronic urinary retention in glanular penile calciphylaxis.

作者信息

Rahman Syed, Harvey Neil, Moore Katie

机构信息

Department of Urology, Manchester Royal Infirmary, United Kingdom.

出版信息

Urol Case Rep. 2022 Jan 24;42:102016. doi: 10.1016/j.eucr.2022.102016. eCollection 2022 May.

DOI:10.1016/j.eucr.2022.102016
PMID:35530543
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9073218/
Abstract

Urinary retention in penile calciphylaxis is a rare phenomenon due to its association with end-stage renal failure. A 48 year-old male was noted to have a lesion with necrotic appearances overlying his urethral meatus with increasing bladder volumes. He is on haemodialysis for end-stage renal failure and was being treated for infected calciphylaxis ulcers on his thigh. The current literature provides little guidance on managing urinary retention in this cohort of patients. We recommend that ultrasound-guided aspiration of the bladder should be performed in patients with glanular penile calciphylaxis who develop urinary retention as it offers a high safety profile.

摘要

阴茎钙化防御中的尿潴留是一种罕见现象,因为它与终末期肾衰竭有关。一名48岁男性尿道口出现坏死外观的病变,膀胱容量不断增加。他因终末期肾衰竭正在接受血液透析,且正在接受大腿部感染性钙化防御溃疡的治疗。目前的文献对于管理这类患者的尿潴留几乎没有提供指导。我们建议,对于发生尿潴留的阴茎头钙化防御患者,应进行超声引导下膀胱穿刺抽吸,因为其安全性高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/657e09d67db0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/378b7ca76a00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/e1a44ba620cb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/657e09d67db0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/378b7ca76a00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/e1a44ba620cb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7733/9073218/657e09d67db0/gr3.jpg

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本文引用的文献

1
Penile necrosis and calciphylaxis.阴茎坏死与钙化防御。
Urol Case Rep. 2021 Jul 6;39:101770. doi: 10.1016/j.eucr.2021.101770. eCollection 2021 Nov.
2
Penile necrosis by calciphylaxis leading to gangrene in a patient with chronic renal failure on dialysis: A case report.钙化防御导致阴茎坏死并引发坏疽,病例报告:一名接受透析的慢性肾衰竭患者
Int J Surg Case Rep. 2020;71:187-191. doi: 10.1016/j.ijscr.2020.04.091. Epub 2020 May 11.
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Catheter-Associated Urinary Tract Infections in Adult Patients.成人患者的导管相关尿路感染。
Dtsch Arztebl Int. 2020 Feb 7;117(6):83-88. doi: 10.3238/arztebl.2020.0083.
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Calciphylaxis: Diagnosis, Pathogenesis, and Treatment.钙化防御:诊断、发病机制和治疗。
Adv Skin Wound Care. 2019 May;32(5):205-215. doi: 10.1097/01.ASW.0000554443.14002.13.
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Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition.阴茎钙化防御:放射学检查在一种罕见且具有挑战性病症管理中的应用
Urol Case Rep. 2017 May 11;13:113-116. doi: 10.1016/j.eucr.2017.03.008. eCollection 2017 Jul.