The Experts below are selected from a list of 1269 Experts worldwide ranked by ideXlab platform
Seong Choi - One of the best experts on this subject based on the ideXlab platform.
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Squamous Cell Carcinoma of the Suprapubic Cystostomy Tract With Bladder Involvement
Korean journal of urology, 2013Co-Authors: Jae Min Chung, Su Hwan Kang, Seong ChoiAbstract:Herein we report a case of a squamous cell carcinoma of a well-healed suprapubic Cystostomy tract scar involving the bladder mucosa in a 56-year-old man. He presented with a spontaneous suprapubic urinary leak from a suprapubic Cystostomy tract scar. He had a history of urethral stricture and failed urethroplasty. Preoperative cystoscopy suggested a bladder mass. Transurethral biopsy of the bladder mass revealed a squamous cell carcinoma confined to the suprapubic Cystostomy tract involving the bladder mucosa. The patient died 6 months after the start of radiation therapy after lung metastasis and pneumonia.
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2012Co-Authors: Jae Min Chung, Su Hwan Kang, Seong ChoiAbstract:Herein we report a case of a squamous cell carcinoma of a well-healed suprapubic cys-tostomy tract scar involving the bladder mucosa in a 56-year-old man. He presented with a spontaneous suprapubic urinary leak from a suprapubic Cystostomy tract scar. He had a history of urethral stricture and failed urethroplasty. Preoperative cystoscopy suggested a bladder mass. Transurethral biopsy of the bladder mass revealed a squ-amous cell carcinoma confined to the suprapubic Cystostomy tract involving the bladder mucosa. The patient died 6 months after the start of radiation therapy after lung meta-stasis and pneumonia
Ramnath Subramaniam - One of the best experts on this subject based on the ideXlab platform.
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endoscopic insertion of Cystostomy button for bladder drainage in children
Journal of Pediatric Urology, 2008Co-Authors: Nadeem Haider, Ramnath SubramaniamAbstract:Abstract Aim The aim of this study is to describe a safe and simple minimally invasive technique for insertion of Cystostomy buttons for bladder drainage and cycling in children. Material and methods This is part of an ongoing prospective study since 2002 looking at our experience with insertion of Cystostomy buttons in children. We recently published the results of the use of Cystostomy buttons in 17 children inserted by an open technique reporting minor complications of urinary leakage and wound infection. We have modified our practice in the last 2 years to a percutaneous endoscopic approach. Results Twelve children (four girls, eight boys) with a mean age of 7.1 years underwent endoscopic insertion of a Cystostomy button. Mean follow up was 11 months (3–24 months). There were no complications such as leakage in the endoscopically inserted buttons. Conclusions Button Cystostomy is a safe and effective form of bladder drainage and gives children a less restricted quality of life. Endoscopic technique allows insertion of buttons under vision with good snug fit and no leakage.
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Cystostomy button for bladder drainage in children
The Journal of Urology, 2007Co-Authors: I Milliken, Nicholas P Munro, Ramnath SubramaniamAbstract:Purpose: The “button” enteral feeding systems are widely used as a gastrostomy. We describe our use of this device to facilitate bladder drainage in children.Materials and Methods: We prospectively reviewed all patients who underwent insertion of a Cystostomy button between 2002 and 2005. Indications and complications were analyzed.Results: A total of 17 children (8 female, 9 male) with a mean age of 7.1 years underwent insertion of a Cystostomy button during the 4-year period. Mean followup was 16 months (range 2 to 40). Cases selected included those with a neuropathic bladder, prune belly syndrome, previous major bladder neck surgery and those unsuitable for Mitrofanoff stoma formation. Complications included 1 wound infection treated with antibiotics. Four children had leakage from the Cystostomy site that was successfully treated with a change in button size, and 14 buttons remain in situ.Conclusions: Button Cystostomy is a safe and effective form of bladder drainage in children. It is a good alternat...
Peter L Hughes - One of the best experts on this subject based on the ideXlab platform.
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fatality due to septicemia and hemorrhage in a patient with spinal cord injury and ischemic heart disease with the need for long term catheter drainage
Advances in Therapy, 2006Co-Authors: Subramanian Vaidyanathan, B M Soni, G Singh, Peter L HughesAbstract:Percutaneous suprapubic Cystostomy is generally considered to be a safe procedure provided the bladder is distended adequately, as palpable bladder is the landmark for insertion of a trocar. This report describes fatality due to septicemia and hemorrhage following suprapubic catheter insertion in a tetraplegic male patient with long-term indwelling urethral catheter drainage and urine infection withEscherichia coli, Pseudomonas species, andEnterococcus faecalis. Before the surgical procedure was begun, the urinary bladder was distended by repeated injection of 50 mL of sterile, 0.9% sodium chloride through the urethral catheter with a catheter-tip syringe until the bladder became palpable in the suprapubic region; by this time, the bladder had been filled forcibly with 500 mL of saline. Percutaneous Cystostomy was performed with the use of an Add-a-Cath trocar and cannula (Femcare Limited, Nottingham, Nottinghamshire, UK). Immediately after a 16 French Foley catheter had been inserted, the drainage fluid appeared heavily stained with blood. The patient developed septicemia, and a blood culture report, received posthumously, showed growth ofE coli. Despite resuscitative measures, the patient expired 13 hours after suprapubic catheter insertion. Postmortem examination revealed bilateral hydronephrosis with fluid and clotted blood in the renal pelves and ureters; the urinary bladder showed a thick wall and hemorrhagic mucosa. This fatal incident raises the question of whether forcible distention of the urinary bladder for percutaneous Cystostomy is safe in patients with spinal cord injury who have a small-capacity bladder, infected urine, and ischemic heart disease. In such patients, it may be prudent to avoid forcible distention of the urinary bladder and instead perform ultrasound-guided or fluoroscopically guided suprapubic Cystostomy.
Michael K Flynn - One of the best experts on this subject based on the ideXlab platform.
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expectant management of cystotomy at the time of midurethral sling placement a retrospective case series
International Urogynecology Journal, 2013Co-Authors: Erin C Crosby, Smitha Vilasagar, Erin E Duecy, Michael K FlynnAbstract:Cystotomy is one of the most common complications of retropubic midurethral sling placement. Some centers manage cystotomy with prolonged catheter drainage, and there are few published studies evaluating this practice. The purpose of this study is to review postoperative outcomes of patients who experienced cystotomy at the time of sling placement and did not undergo prolonged catheter drainage. This is a retrospective review of all patients undergoing midurethral sling placement complicated by a cystotomy at the University of Rochester between 2004 and 2009. Outpatient and inpatient records were reviewed and data collected include demographics, intraoperative details, voiding trial results, postoperative complications, and voiding function. Descriptive statistics were performed. Between 2004 and 2009, 30 subjects experienced a cystotomy of the 374 subjects that had a midurethral sling placed, all by a suprapubic approach. There were 25 patients who underwent a voiding trial on the day of surgery and 20 (80 %) were discharged home without prolonged drainage. Five subjects (20 %) had urinary retention and were discharged with an indwelling catheter. All five successfully voided within 4 days of discharge. No subject required subsequent catheterization for any reason and at the 6-week postoperative evaluation all subjects denied voiding dysfunction or irritative bladder symptoms. No subject required additional intervention and postoperative complications were rare. In this study, the majority of subjects experiencing a cystotomy during midurethral sling placement were successfully discharged home the day of surgery without catheter drainage. The results suggest that prolonged catheter drainage after a cystotomy during midurethral sling placement may be unnecessary.
Jae Min Chung - One of the best experts on this subject based on the ideXlab platform.
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Squamous Cell Carcinoma of the Suprapubic Cystostomy Tract With Bladder Involvement
Korean journal of urology, 2013Co-Authors: Jae Min Chung, Su Hwan Kang, Seong ChoiAbstract:Herein we report a case of a squamous cell carcinoma of a well-healed suprapubic Cystostomy tract scar involving the bladder mucosa in a 56-year-old man. He presented with a spontaneous suprapubic urinary leak from a suprapubic Cystostomy tract scar. He had a history of urethral stricture and failed urethroplasty. Preoperative cystoscopy suggested a bladder mass. Transurethral biopsy of the bladder mass revealed a squamous cell carcinoma confined to the suprapubic Cystostomy tract involving the bladder mucosa. The patient died 6 months after the start of radiation therapy after lung metastasis and pneumonia.
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Corresponding Author:
2012Co-Authors: Jae Min Chung, Su Hwan Kang, Seong ChoiAbstract:Herein we report a case of a squamous cell carcinoma of a well-healed suprapubic cys-tostomy tract scar involving the bladder mucosa in a 56-year-old man. He presented with a spontaneous suprapubic urinary leak from a suprapubic Cystostomy tract scar. He had a history of urethral stricture and failed urethroplasty. Preoperative cystoscopy suggested a bladder mass. Transurethral biopsy of the bladder mass revealed a squ-amous cell carcinoma confined to the suprapubic Cystostomy tract involving the bladder mucosa. The patient died 6 months after the start of radiation therapy after lung meta-stasis and pneumonia
