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Penile erosion in spinal cord injury--an important lesson.
Spinal Cord ; 41(11): 643-4, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-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.
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Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Doenças do Pênis / Traumatismos da Medula Espinal / Obstrução Uretral / Cateterismo Urinário Tipo de estudo: Relato de casos Aspecto clínico: Etiologia Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: Spinal Cord Assunto da revista: Neurologia Ano de publicação: 2003 Tipo de documento: Artigo País de afiliação: Reino Unido