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Title: 尿道皮膚瘻を生じた膀胱尿道異物の1例
Other Titles: Urethral Fistula Caused by an Urethrovesical Foreign Body : A Case Report
Authors: 岩本, 崇史  KAKEN_name
細川, 幸成  KAKEN_name
大塚, 憲司  KAKEN_name
松下, 千枝  KAKEN_name
林, 美樹  KAKEN_name
大西, 健太  KAKEN_name
藤本, 清秀  KAKEN_name
Author's alias: Iwamoto, Takashi
Hosokawa, Yukinari
Otsuka, Kenji
Matsushita, Chie
Hayashi, Yoshiki
Onishi, Kenta
Fujimoto, Kiyohide
Keywords: Urethrovesical foreign body
Issue Date: 31-Jul-2016
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 62
Issue: 7
Start page: 373
End page: 376
Abstract: A 68-year-old man presented with the chief complaint of swelling of the penis. A pencil had been inserted into his urethra by a commercial sex worker for sexual stimulation. On a computed tomography (CT) scan, a foreign object was visible throughout the urethra and in the urinary bladder. Cystoscopy performed under spinal anesthesia showed a pencil in the urethra. We attempted removing the object endoscopically by using a Holmium laser. However, the endoscopic procedure failed and finally, we removed the object by transvesical open surgery. At the same time, suprapubic cystostomy was performed for the disorder of the urethra. An anterior urethrocutaneous fistula was formed 5 days after the operation. After removal of the urethral catheter, he was managed with only suprapubic cystostomy. Conservative management of the urethrocutaneous fistula was effective. The fistula was completely closed 26 days after the operation. He was discharged 33 days after the operation.
Rights: 許諾条件により本文は2017/08/01に公開
DOI: 10.14989/ActaUrolJap_62_7_373
PubMed ID: 27569356
Appears in Collections:Vol.62 No.7

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