The Experts below are selected from a list of 303 Experts worldwide ranked by ideXlab platform
Subhasis Mandal - One of the best experts on this subject based on the ideXlab platform.
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Marjolin’s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder: a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
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marjolin s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
N.p. Gupta - One of the best experts on this subject based on the ideXlab platform.
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Marjolin’s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder: a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
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marjolin s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
Subramanian Vaidyanathan - One of the best experts on this subject based on the ideXlab platform.
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Persistent urine leakage around a Suprapubic catheter: the experience of a person with chronic tetraplegia
Spinal cord series and cases, 2018Co-Authors: Subramanian Vaidyanathan, Bakul M Soni, Jerry Ward, Peter L HughesAbstract:Persistent urine leakage after Suprapubic Cystostomy in tetraplegic subjects occurs due to shrinkage of the urinary bladder and bladder spasms. The patient’s social life is adversely affected as clothes become wet, smelly, and require frequent changing, thus increasing the workload of carers. A 48-year-old male sustained C-4 complete (AIS:A) tetraplegia while swimming in 2007. Suprapubic Cystostomy was performed in 2009. From 2012, this patient had urine leakage around the Suprapubic catheter, which became progressively more frequent. Propiverine, then oxybutynin tablets instead of propiverine, oxybutynin transdermal patches, and mirabegron in addition to oxybutynin were tried. An indwelling urethral catheter was used in addition to the Suprapubic catheter to alleviate urine leakage when the bladder was undergoing spasms. This patient continued to have leakage around the Suprapubic catheter. Leakage of urine was occasionally accompanied by autonomic dysreflexia. Leakage of urine caused huge amounts of extra work for carers, and family. Furthermore, leakage of urine had a significant impact on quality of life, and going out with friends and family. Bladder wall injection of Botox was performed in 2015 and in 2016, which reduced urine leakage. Bladder wall injection of Botox to treat persistent urine leakage around the Suprapubic catheter in spinal cord injury patients with Suprapubic Cystostomy has not been mentioned in NICE guidelines or publications indexed in PubMed. While recommending Suprapubic Cystostomy to subjects with tetraplegia, leakage of urine around the Suprapubic catheter, which may occur sometime after Suprapubic Cystostomy, should be included in the conversation so that patients and carers become aware of this potential complication.
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Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient: Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!
2013Co-Authors: Subramanian Vaidyanathan, Peter L Hughes, Bakul M Soni, Gurpreet SinghAbstract:Copyright © 2010 Subramanian Vaidyanathan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Neuropathic urinary bladder is often colonised by multidrug-resistant bacteria. We report a 64-year-old male spinal cord injury patient with paraplegia, who received gentamicin on empirical basis before undergoing Suprapubic Cystostomy, as antibiotic sensitivity report of urine was not available. This patient developed fulminate septicaemia. Although appropriate antibiotic therapy (meropenem) was started when this patient manifested features of sepsis, acute renal failure occurred and he expired. Inappropriate initial antimicrobial therapy was the major contributory factor for this patient’s mortality. Learning points from this case are (1) never do a Cystostomy without prior urine culture and appropriate antibiogram; (2) in a chronic spinal cord injury patient, full blood count, liver function tests, albumin level, and albumin to globulin ratio should be performed before any surgical procedure. 1
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Preventable long-term complications of Suprapubic Cystostomy after spinal cord injury: Root cause analysis in a representative case report.
Patient safety in surgery, 2011Co-Authors: Subramanian Vaidyanathan, Peter L Hughes, Bakul M Soni, Gurpreet SinghAbstract:Although complications related to Suprapubic cystostomies are well documented, there is scarcity of literature on safety issues involved in long-term care of Suprapubic Cystostomy in spinal cord injury patients. A 23-year-old female patient with tetraplegia underwent Suprapubic Cystostomy. During the next decade, this patient developed several catheter-related complications, as listed below: (1) Suprapubic catheter came out requiring reoperation. (2) The Suprapubic catheter migrated to urethra through a patulous bladder neck, which led to leakage of urine per urethra. (3) Following change of catheter, the balloon of Suprapubic catheter was found to be lying under the skin on two separate occasions. (4) Subsequently, this patient developed persistent, seropurulent discharge from Suprapubic Cystostomy site as well as from under-surface of pubis. (5) Repeated misplacement of catheter outside the bladder led to chronic leakage of urine along Suprapubic tract, which in turn predisposed to inflammation and infection of Suprapubic tract, abdominal wall fat, osteomyelitis of pubis, and abscess at the insertion of adductor longus muscle Suprapubic catheter should be anchored securely to prevent migration of the tip of catheter into urethra and accidental dislodgment of catheter. While changing the Suprapubic catheter, correct placement of Foley catheter inside the urinary bladder must be ensured. In case of difficulty, it is advisable to perform exchange of catheter over a guide wire. Ultrasound examination of urinary bladder is useful to check the position of the balloon of Foley catheter.
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Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient: Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!
Case reports in medicine, 2010Co-Authors: Subramanian Vaidyanathan, Peter L Hughes, Bakul M Soni, Gurpreet SinghAbstract:Neuropathic urinary bladder is often colonised by multidrug-resistant bacteria. We report a 64-year-old male spinal cord injury patient with paraplegia, who received gentamicin on empirical basis before undergoing Suprapubic Cystostomy, as antibiotic sensitivity report of urine was not available. This patient developed fulminate septicaemia. Although appropriate antibiotic therapy (meropenem) was started when this patient manifested features of sepsis, acute renal failure occurred and he expired. Inappropriate initial antimicrobial therapy was the major contributory factor for this patient's mortality. Learning points from this case are (1) never do a Cystostomy without prior urine culture and appropriate antibiogram; (2) in a chronic spinal cord injury patient, full blood count, liver function tests, albumin level, and albumin to globulin ratio should be performed before any surgical procedure.
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Inadvertent positioning of Suprapubic catheter in urethra: a serious complication during change of Suprapubic Cystostomy in a spina bifida patient - a case report
Cases journal, 2009Co-Authors: Subramanian Vaidyanathan, Peter L Hughes, Bakul M Soni, Gurpreet SinghAbstract:Spinal cord injury patients are at risk for developing unusual complications such as autonomic dysreflexia while changing Suprapubic Cystostomy. We report a male patient with spina bifida in whom the Foley catheter was placed in the urethra during change of Suprapubic Cystostomy with serious consequences. A male patient, born in 1972 with spina bifida and paraplaegia, underwent Suprapubic Cystostomy in 2003 because of increasing problems with urethral catheter. The patient would come to spinal unit for change of Suprapubic catheter every four to six weeks. Two days after a routine catheter change in November 2009, this patient woke up in the morning and noticed that the Suprapubic catheter had come out. He went straight to Accident and Emergency. The Suprapubic catheter was changed by a health professional and this patient was sent home. But the Suprapubic catheter did not drain urine. This patient developed increasing degree of pain and swelling in Suprapubic region. He did not pass any urine per urethra. He felt sick and came to spinal unit five hours later. About twenty ml of contrast was injected through Suprapubic catheter and X-rays were taken. The Suprapubic catheter was patent; the catheter was not blocked. The Foley catheter could be seen going around in a circular manner through the urinary bladder into the urethra. The contrast did not opacify urinary bladder; but proximal urethra was seen. The tip of Foley catheter was lying in proximal urethra. The balloon of Foley catheter had been inflated in urethra. When the balloon of Foley catheter was deflated, this patient developed massive bleeding per urethra. A sterile 22 French Foley catheter was inserted through Suprapubic track. The catheter drained bloody urine. He was admitted to spinal unit and received intravenous fluids and meropenem. Haematuria subsided after 48 hours. The patient was discharged home a week later in a stable condition. This case shows that serious complications can occur during change of Suprapubic catheter in patients with neuropathic bladder. After inserting a new catheter, health professionals should observe spinal cord injury patients for at least thirty minutes and ensure that (1) Suprapubic catheter drains clear urine; (2) patients do not develop abdominal spasm or discomfort; (3) symptoms and signs of sepsis or autonomic dysreflexia are absent.
Iqbal Singh - One of the best experts on this subject based on the ideXlab platform.
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Marjolin’s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder: a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
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marjolin s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
G. Nabi - One of the best experts on this subject based on the ideXlab platform.
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Marjolin’s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder: a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
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marjolin s ulcer of the Suprapubic Cystostomy site infiltrating the urinary bladder a rare occurrence
Urology, 2000Co-Authors: N.p. Gupta, Iqbal Singh, G. Nabi, M.s. Ansari, Subhasis MandalAbstract:We report a case of a 40-year-old man who had presented with a spontaneous Suprapubic urinary leak from a well-healed Suprapubic Cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the Suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.