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How To Manage Acute Urethral False Passage Due To Intermittent Catheterization In Spinal Cord Injured Patients Who Refused Insertion Of An Indwelling Catheter

2003; Lippincott Williams & Wilkins; Volume: 169; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(05)64068-2

1527-3792

A. Gokalp, İbrahim Yıldırım, Emin Aydur, Salim Göktepe, Şeref Başal, Kamil Yazıcıoğlu,

Urological Disorders and Treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jan 2003How To Manage Acute Urethral False Passage Due To Intermittent Catheterization In Spinal Cord Injured Patients Who Refused Insertion Of An Indwelling Catheter ADİL GÖKALP, İBRAHIM YILDIRIM, EMİN AYDUR, SALİM GÖKTEPE, ŞEREF BAŞAL, and KAMİL YAZICIOĞLU ADİL GÖKALPADİL GÖKALP More articles by this author , İBRAHIM YILDIRIMİBRAHIM YILDIRIM More articles by this author , EMİN AYDUREMİN AYDUR More articles by this author , SALİM GÖKTEPESALİM GÖKTEPE More articles by this author , ŞEREF BAŞALŞEREF BAŞAL More articles by this author , and KAMİL YAZICIOĞLUKAMİL YAZICIOĞLU More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64068-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Acute urethral false passage is an important complication of clean intermittent catheterization in spinal cord injured patients. Temporary urethral stenting with an indwelling catheter is generally an excellent conventional therapeutic option to treat patients with acute false passage. However, how can acute false passage be managed in a patient who refuses insertion of an indwelling catheter? Materials and Methods: For 3 years 5 male patients with acute urethral false passage due to catheterization refused urethral stenting because indwelling catheter insertion would prevent sexual intercourse. We placed a nitinol prostatic stent successfully in the false urethral passage in all 5 patients. The stents were left in place for 3 to 6 months. Results: The stent migrated in 1 patient and it was replaced. During a retention period of 3 to 6 months all patients continued clean intermittent catheterization without any difficulty and achieved sexual intercourse. On urethral cystoscopy we observed that all false passages disappeared without a gross tissue reaction. The stents were then removed without any complications. During a mean followup of 11.8 months (range 4 to 25) none of these patients had another false passage. All continued to perform clean intermittent catheterization without any further difficulty. Conclusions: Temporary placement of a removable endourethral stent is a safe and effective method for managing acute urethral false passage in patients on clean intermittent catheterization who refuse insertion of an indwelling catheter. This approach makes further clean intermittent catheterization possible and improves patient quality of life. References 1 : Management of the neuropathic bladder by clean intermittent catheterisation: 5 year outcomes. Paraplegia1987; 25: 106. Google Scholar 2 : Fate of patients started on clean intermittent self-catheterization therapy 10 years ago. J Urol1983; 129: 1120. Link, Google Scholar 3 : Clean intermittent self-catheterization: a 12-year followup. J Urol1990; 143: 906. 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Google Scholar From the Divisions of Urology and Physical Therapy and Rehabilitation, Physical Therapy and Rehabilitation Center of Turkish Armed Forces, Department of Urology, Gülhane Military Medical Academy, School of Medicine and Division of Urology, Anıttepe Gendarmerie Dispensary, Ankara, Turkey© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 169Issue 1January 2003Page: 203-206 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsurinary catheterizationspinal cord injuriesstentsurethraMetricsAuthor Information ADİL GÖKALP More articles by this author İBRAHIM YILDIRIM More articles by this author EMİN AYDUR More articles by this author SALİM GÖKTEPE More articles by this author ŞEREF BAŞAL More articles by this author KAMİL YAZICIOĞLU More articles by this author Expand All Advertisement PDF downloadLoading ...