尿瘻を伴った膀胱尿道異物の1例

Abstract

53歳男.自慰目的で尿道口より径6mmのビニールチューブを3m挿入し, 1m引き抜いた時点で, 抜去不能となった.尿道を自己切開し, 異物抜去を試みたがうまくいかなかった.翌日, 尿漏, 陰嚢腫大, 発熱を主訴に受診した.膀胱高位切開による膀胱尿道異物除去術, 尿道修復術を施行した.チューブが前立腺尿道部にはまりこみ, 出血が著明であったので, 尿道にバルーンカテーテルを留置, 縫合した.膀胱瘻を造設し, 膀胱前腔と陰嚢会陰皮下にドレーンを留置した.経過は順調で, 術後21日目に尿道カテーテルを抜去し, 術後24日目には膀胱瘻を抜去した.排尿状態は良好であった

We report a rare case of vesico-urethral foreign body with urinary fistula. On March 12, 2002, a 53-year-old single men inserted a 3 m vinyl tube 6 mm in diameter into his urethra by himself for the purpose of masturbation, but he could not remove the tube. He cut his urethra by himself and tried to remove the tube. The next day he was admitted to our hospital, with complaints of urinary fistula and fever. Open surgical removal of foreign body, cystostomy and repair of bulbous portion of the urethra were performed. At 24 days postoperatively the cystostomy and urethral catheter were removed and urination became smooth.