Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Cystostomy”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 307 records · Page 17Linked to original sources
PubMed1999

[Vesico-uterine fistulas. Report of 30 cases].

The authors report a series of 30 vesico-uterine fistulas (VUF) observed over a 25-year period. The mean age of the patients was 28 years (range: 18 to 40 years). VUF were secondary to caesarean section (23 cases), abnormal delivery (5 cases) and rupture of the bladder and uterus (2 cases). The presenting complaint was a permanent total and isolated urinary incontinence (22 cases), partial urinary incontinence associated with menstrual haematuria (4 cases), vesical menstrual bleeding associated with a oligomenorrhoea (3 cases) and menouria (1 case). The diagnosis was established on clinical findings in 14 patients. IVU, performed in 30 patients, visualized the uterine cavity in only 12 patients. Retrograde cystography, performed in 4 cases, demonstrated opacification of the uterine cavity. Hysterosalpingography, performed in 6 cases, confirmed the diagnosis of VUF in all 6 patients. Treatment was surgical, via a transperitoneovesical incision (22 cases) or a transvesical incision (8 cases) and consisted of isolation of the bladder and uterus and uterine and vesical suture. Urine drainage was performed by urethral catheter (28 cases) or cystostomy (2 cases). Urinary continence was perfectly restored in 24 patients, 6 patients presented residual fistulas another patient had a reduction of her bladder capacity. The objective of this study is to analyse the aetiological, diagnostic and therapeutic aspects of this disease.

Adolescent↗
PubMed1999

[Perineal recurrence of resected penile cancer. A case report].

The authors report an unusual case of perineal recurrence of squamous carcinoma of the penis in a 50-year-old, white man, circumcised during infancy and operated 5 years previously for stage T3N0M0 squamous carcinoma of the penis by total amputation of the penis. Clinical examination revealed a very large, infected perineal tumour associated with bilateral inguinal lymphadenopathy. This stage T4N2M0 tumour was treated palliatively by cystostomy, emasculation with perineal tumour reduction and antibiotics. The patient became afebrile and the infection resolved and was referred to the radiotherapy department for further treatment.

Anti-Bacterial Agents↗
PubMed1999

Causes and outcome of bladder injuries in Durban.

OBJECTIVE: To document our experience with the management of bladder injuries. DESIGN: A retrospective study. SETTING: King Edward VIII Hospital in Durban, South Africa. PATIENTS: One hundred and twenty patients with urinary bladder injuries. INTERVENTIONS: Patients with intraperitoneal bladder injuries underwent laparotomy whereas those with extraperitoneal bladder injuries were managed non-operatively with a suprapubic catheter. RESULTS: The patients' median age was 28.5 years and the male to female ratio was 5:1. Sixty injuries were due to firearms, seven to stabs and fifty-three were due to blunt trauma. There were other associated injuries in sixty-six patients while fifty patients had isolated bladder injuries. Ninety-four intraperitoneal injuries were repaired while 26 extraperitoneal injuries were managed conservatively. The mortality rate was fourteen per cent (twenty-four per cent for patients with other associated injuries and two per cent for patients with isolated injuries). The mean hospital stay was 18.65 +/- 23.35 days (13.3 +/- 13.5 for firearms 30.56 +/- 33.39 for blunt injuries and 11.00 +/- 2.55 for stabs). CONCLUSION: The majority of bladder injuries were penetrating and the major cause was firearm wounds. Blunt injuries were associated with prolonged hospital stay. Isolated bladder injuries carried a low mortality rate even in patients with delayed diagnosis. Associated injuries were responsible for the high mortality. Suprapubic cystostomy for extraperitoneal bladder injuries led to no complications in our hands.

Adolescent↗
PubMed2000

[Urethral injury with unusual clinical course: a case report].

A 20-year-old men fell from a ladder in 1995, striking his perineum strongly, and macroscopic hematuria with painful urination lasted for several days. Subsequently, swelling of the perineum on urination continued to occur. However, he did not seek medical treatment until July 1997, when he consulted our medical institution. A diverticulum-like change was found in the bulbous urethra on urethrocystography, and a tear in the same position on urethroscopy. On September 22, 1997, surgery was performed after constructing a cystostomy, the tear was located using a urethroscope, and closed through a perineal approach. At 14 days after surgery, there was extra-urethral leakage of contrast media on voiding cystourethrography, and at 28 days after surgery, the findings showed improvement. Since then, he has been free of the preoperative symptoms.

Accidental Falls↗
PubMed1992

Endoscopic management for traumatic occlusion of posterior urethra.

When traumatic posterior urethral transection occurs with serious pelvic fracture, the patient is usually under severe hemorrhagic shock and multiple injuries. It is of prime importance to treat shock and the associated injuries promptly. As for the urethral disruption a simple suprapubic cystostomy at the moment is preferred. Occlusion of the posterior urethra would eventually appear and can be managed endoscopically 3-6 months later. Fifteen such cases were thus managed from 1984 to 1990 with an improved endoscopic technique with a success rate of 93.3% (14/15). The advantages of this technique and the merits and demerits of various primary urethral reconstruction procedures are discussed.

Adolescent↗
PubMed1992

[Surgical treatment of vesico-ureteral reflux: comparison between sub-ureteric injection of Polytef and the Cohen technique].

40 patients who need surgical treatment for their vesico-ureteral reflux have been operated between 1989 and 1992; 26 of them have got the subureteric injection of Polytef (S.U.I.P.) and 14 the neo-uretero-cystostomy (N.U.C.) of Cohen. Even the N.U.C. of Cohen keeps the best results in our experience with only one stenosis on 28 operated ureters (3%), the S.U.I.P. is still an excellent technic because of its simplicity, low morbidity with 90% rate of success. This rate seems stable after a recoil of 19 +/- 13 months. Research must focus on finding a new substance to replace the Polytef and stop the fear of its particles migration found experimentally in animals.

Adolescent↗
PubMed1991

[Complete urethral rupture caused by pelvic fracture in females].

Complete urethral rupture caused by pelvic fracture in females is rare. In China except 6 cases treated at other institutions, we encountered 3 case of this kind injury from 1987 to 1989. Reviewing the etiology, diagnosis and treatment of the injury of 9 cases, we suggest that urethral reunion, traction by Foley's catheter and cystostomy should be performed routinely to raise the cure rate.

Adolescent↗
PubMed1990

[Current status of urethral stenosis in tropical Africa/ Apropos of 71 cases].

In this study of seventy-one cases, the authors report the characteristics of the clinical course and treatment of urethral stricture in tropical Africa. In this special context, only 38% cases could benefit from a curative procedure on the urethra, whereas in 43.6% of patients, local complications only allowed palliative treatment (periodic dilatation of urethra, perineal uretherostomy or definitive cystostomy).

Adolescent↗
PubMed1990

[Transcutaneous endoscopic surgery of the posterior urethra in newborn infants].

The authors report on two male neonates who underwent transurethral resection of urethral valves in one case and a polyp in the posterior urethra in the other case, via antegrade percutaneous cystostomy. The percutaneous antegrade approach to the urethra is described in detail. The advantages afforded by this procedure are emphasized, particularly that of avoiding iatrogenic stenosis resulting from the conventional retrograde transurethral approach or the morbidity of transvesical or retropubic open surgery.

Cystostomy↗
PubMedDate not supplied

[Selection of the method of drainage of the urinary tract in patients with advanced-stage adenoma of the prostate].

An original method is proposed for urine collection in patients with prostatic adenoma (PA), complicated by chronic renal failure (CRF) and marked upper urinary retentive changes. The techniques of the operation, which is called longitudinal myotomy and epicystostomy, are described. The anterior wall of the bladder was longitudinally dissected through all layers in 2 patients, and leaving the mucosal layer untouched, in 4 patients. Follow-up investigation, including the measurement of serum urea and creatinine, endogenic creatinine clearance and ultrasonography of the kidneys and the bladder, demonstrated similar postoperative results: retention regressed, while serum urea and creatinine levels decreased or even returned to normal in all patients. Within 1 to 1.5 months, adenomectomy was performed successfully in 5 patients. In a control group of 9 PA patients with similar complications, trocar cystostomy (4) and conventional epicystostomy (5) were performed. Upper urinary retention disorders were only improved in 2 of 9 patients, and at later dates (within 4 to 6 months). Therefore, longitudinal myotomy and epicystostomy should be regarded as a successful method of urine collection for the cases of advanced prostatic adenoma, which sometimes may be an alternative to transcutaneous puncture nephrostomy where there are marked upper urinary retentive changes. It can also be a method of choice in those cases where radical surgery is not possible because of terminal chronic renal failure in the presence of a severe attendant disease.

Aged↗
PubMedDate not supplied

[Necrotizing perineal phlegmon (Fournier's gangrene)].

The scrotal and perineal necrosis process, known as Fournier's gangrene, constitutes a characteristic clinical pattern of fulminating course and high mortality. In this series, we analyse 22 patients bearers of this condition treated in our service over the last 10 years. Their average age was 60.6. A factor unleashing the infectious process could be shown in 14 patients (63.6%), chiefly urogenital pathology. Six patients were diabetic (27.3%). The treatment favoured by the authors contemplates early surgical intervention with limited debridement, ample drainage, wide spectrum antibiotics and cystostomy in appropriate cases. With this schema the mortality of the series was only 9.1% (2 patients). This entity represents a real urological emergency. Its early identification and prompt appropriate treatment are key elements for bringing down the high mortality.

Adult↗
PubMed1989

Genitourinary imaging and procedures by the emergency physician.

Optimal imaging of the urinary tract in the Emergency Department does not require sophisticated or rare equipment. The supervising physician must review each ExU, cystogram, or RUG film as it becomes available and decide upon the proper course of action. Indications for contrast studies in injured patients continue to evolve, with a trend away from investigation of stable patients with microscopic hematuria on the first urine. Urethral catheterization and suprapubic cystostomy are complementary options for bladder drainage. Careful attention to details of anatomy and technique allow for success in the majority of patients. There are substantial pitfalls in the diagnosis and treatment of male genital emergencies. The acute treatment of priapism is rapidly changing as understanding of penile physiology becomes more complete. Acute scrotal pathology can be difficult to categorize without surgical exploration. Urologic consultation, therefore, is mandatory in these conditions.

Cystostomy↗
PubMed1989

[Spina bifida accompanied with neurogenic bladder in a patient who lived to be 81 years old].

Spina bifida accompanied with neurogenic bladder in a woman who lived to be 81 years old was reported. Owing to spina bifida (paralyzed below L4), she suffered from urinary incontinence and gait disturbance. Since childhood, she had voided by Credé's maneuver and used a diaper for urinary incontinence. At the age of 56 years old, cystostomy operation was performed for incontinence. After that, she was free from incontinence. The main reason for her longevity was supposed to be the fact that she could accept good medical care and warm family support. Finally she died of lower abdominal carcinoma.

Aged↗
PubMed1988

Blunt urethral injury: results of initial management.

Fourteen men with blunt urethral disruption were treated between 1979-1985. Injuries most commonly resulted from motor-vehicle accidents, as pedestrians or passengers. All patients had additional injuries, including pelvic fracture (13), extremity fractures (10), central nervous system (5), bladder (5) and rectal injury (3); the average injury severity score was 30. Pelvic fracture patterns included ten patients with a crushed pelvis, two with single anterior pelvic ring fractures and one with a double vertical fracture. Blood at the urethral meatus was noted in only five patients, gross hematuria without metal blood in another three, and a displaced prostate on rectal exam was found in 10 cases. All patients had a suprapubic cystostomy for management of the urethral injury. Thirteen of 14 patients survived (93%). The major complication was perineal sepsis. Based on this experience, it is concluded that: 1) the classical findings of urethral injury are not found consistently, 2) certain pelvic fracture patterns, particularly disruption of the anterior pelvic ring, are frequently associated with urethral injury and 3) aggressive and appropriate management of hemorrhage, pelvic fracture and concomitant injuries is important to minimize mortality.

Adult↗
PubMed1995

[Continent urostomy using the intestine].

The hydraulic ileal valve, which we developed in 1975, ensures continence by adapting to 5 different urinary reservoirs. An isolated ileal segment (14 cm) is folded inward on itself throughout its entire length. We performed 260 continent urostomies. An ileocecal reservoir was used in 179, detubularised ileocecal reservoir in 32, ileum 34, sigmoïd 5, rectum 1 and bladder (continent cystostomy) in 8. Of the patients 82% were continent immediately. Continence was obtained after repair of the valve in 12.5% therefore, 94.5% patients over all were continent.

Cecum↗
PubMed1995

A simple decannulating method for suprapubic trocar and cannula without a side slit.

Closed suprapubic cystostomy using a suprapubic trocar and cannula is a standard surgical procedure for urinary diversion in cases of acute urinary retention. Decannulation is quite easy when the cannula has a side slit which allows easy detachment of the Foley catheter. However when the cannula is without a side slit decannulation becomes problematic. This simple decannulating method is described to overcome this difficulty.

Cystostomy↗
PubMed1996

Urethritis/dysuria after simultaneous pancreas-kidney transplantation.

We evaluated the role of conservative treatment for urethritis and its complications after simultaneous pancreas-kidney (SPK) transplant. Twenty-six type I diabetic recipients with end-stage renal disease underwent SPK transplants with bladder exocrine drainage. Urethritis/ dysuria occurred in 4/26 (16%) of the patients. All cases resolved with conservative treatment that included Foley catheter and/or suprapubic cystostomy. Despite the frequency of this urological complication, none of the patients needed diversion of the exocrine drainage from the bladder to the intestine.

Adult↗
PubMed1997

[Abdomino-pelvic-gluteal war injuries. Principles of treatment].

From a series of 316 cases of war wounds, the authors selected those cases in which the entry or exit wound was situated between the iliac crests and the inferior gluteal fold and report a series of 21 wounds (including 17 assault gunshot wounds) involving the perineal, pelvic and/or gluteal regions. Wounds of these regions are characterized by their immediate severity (10% mortality in this series), due to the complexity of combined lesions (urethra, rectum, hip, abdominal and vascular lesions) and the severity of sequelae. This series included 5 anorectal wounds, 5 urethral wounds and 4 hip wounds. Based on this series and a review of the literature, the authors discuss diagnostic problems (risk of missing abdominal penetration, a retroperitoneal rectal wound or an articular wound). Principles of treatments are also described (wide debridement and drainage, systematic colostomy for wounds of the rectum and large soft tissues wounds, systematic cystostomy for bladder and urethral wounds and alignment of urethral wounds whenever possible, articular lavage and immobilization by external fixation of hip wounds).

Abdominal Injuries↗