Iatrogenic hypospadias: a rare complication due to chronic placement of urethral catheters

Shimane journal of medical science Volume 25 Page 21-23 published_at 2008-12-01
アクセス数 : 2173
ダウンロード数 : 141

今月のアクセス数 : 97
今月のダウンロード数 : 4
File
m003002501004.pdf 688 KB エンバーゴ : 2009-03-10
Title
Iatrogenic hypospadias: a rare complication due to chronic placement of urethral catheters
Creator
Wake Koji
Source Title
Shimane journal of medical science
Volume 25
Start Page 21
End Page 23
Journal Identifire
ISSN 03865959
EISSN 24332410
Descriptions
In the near future longer life expectancies will continue to greatly influence society. Patients requiring the adaptation of balloon catheters for long times will increase annually. Although secondary or iatrogenic hypospadias does not appear to be unusual, few cases have been reported in the literature. We report a case of an iatrogenic hypospadias in an extremely old patient harboring spinal cord injury and several complications and discuss the strategies facing patients with iatrogenic hypospadias. A 94 year-old man with permanent vesicorectal dysfunction caused by spinal cord injury during the wartime, was admitted to our University Hospital due to huge blood clot formation in the bladder. His significant vesical dysfunction, which has been worsening since 1985, allowed indwelling and exchanging the urethral catheter regularly by physicians. CT scanning with contrast material demonstrated a vesical stone of 1.5 cm in diameter, which was responsible for macrohematuria, and bilateral common iliac aneurysms with maximum diameter of 7.1 cm. Physical examination showed a longitudinal cleavage of penile urethra caused by chronic placement of urethral catheter. Although cystostomy diversion could resolve the potential problem with his voiding dysfunction, extremely high age and large aneurysms harboring the risk of rupture during the procedure rendered it impossible to apply suprapubic cystostomy. This situation reinforced him to exchange the balloon catheter regularly, but reluctantly. Much
emphasis should be placed by the urologists, focusing on the prevention or avoidance of the iatrogenic hypospadias as a complication caused by chronic placement of urethral catheter.
Language
eng
Resource Type departmental bulletin paper
Publisher
Shimane University Faculty of Medicine
Date of Issued 2008-12-01
Publish Type Version of Record
Access Rights open access
Relation
[NCID] AA00841586
Remark http://ci.nii.ac.jp/vol_issue/nels/AA00841586_jp.html