suprapubic cystostomy

恥骨上膀胱造瘻術

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/05/23 14:07:11」(JST)

wiki en

[Wiki en表示]

Suprapubic cystostomy
Intervention
Suprapubic catheter
ICD-9-CM	V55.5, 57.17, 57.18
MeSH	D003559

A suprapubic cystostomy or suprapubic catheter (also known as a vesicostomy or epicystostomy) is a surgically created connection between the urinary bladder and the skin which is used to drain urine from the bladder in individuals with obstruction of normal urinary flow. Urinary flow may be blocked by swelling of the prostate (benign prostatic hypertrophy), traumatic disruption of the urethra, congenital defects of the urinary tract, or by obstructions such as kidney stones passed into the urethra, and cancer. It is also a common treatment used among spinal cord injury patients who are unable or unwilling to use intermittent catheterization to empty the bladder, and cannot otherwise void due to detrusor sphincter dyssynergia.

Initially, a thin tube (catheter) is placed through the skin just above the pubic bone into the bladder, often with the assistance of ultrasound imaging. This catheter initially remains in place for up to a month while the tissue around it scars and forms a tract (sinus) between the bladder and the body exterior. After the formation of scar tissue is complete, the catheter is replaced periodically in order to help prevent infection

Medical uses

• Failed urethral catheter,
• Long term usage (if left in urethral long terms catheters can lead to acquired hypospadias and recurrent/chronic UTIs, urinary tract infections).

Contraindications

• Need to rule out bladder cancer in cases of clot retention
• Lower abdominal incisions with likelihood of adhesions
• Pelvic fracture

Complications

• UTIs
• Blockage
• Bladder stones
• Bladder cancer
• Bypass track by urine

Society and culture

The suprapubic cystostomy (spelled "cystotomy", without the "s") is a specialty of the fictional physician Stephen Maturin in Patrick O'Brian's twenty-one volume series on the Royal Navy during the Napoleonic era.

References

External links

• Cystostomy description
• Vesicostomy care of infants and children

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 上部および下部尿生殖路の貫通性外傷：初期評価およびマネージメント penetrating trauma of the upper and lower genitourinary tract initial evaluation and management
• 2. 鈍的尿生殖器外傷：初期評価およびマネージメント blunt genitourinary trauma initial evaluation and management
• 3. 膀胱カテーテルの合併症および予防戦略 complications of urinary bladder catheters and preventive strategies
• 4. Placement and management of urinary bladder catheters in adults
• 5. 尿路感染症を疑う小児における採尿手技 urine collection techniques in infants and children with suspected urinary tract infection

English Journal

• Photoselective Vaporization of the Prostate and Simultaneous Suprapubic Cystostomy for the Treatment of Benign Prostatic Hyperplasia in Patients with Mild to Severe Detrusor Underactivity.

• Yu Z1, Li J, Li Z, Hou R.
• Urologia internationalis.Urol Int.2015 Nov;95(3):269-75. doi: 10.1159/000434688. Epub 2015 Jun 27.
• INTRODUCTION: This study investigated the clinical efficacy and safety of photoselective vaporization of the prostate (PVP) and simultaneous suprapubic cystostomy for benign prostatic hyperplasia (BPH) in patients with mild to severe detrusor underactivity (DU).SUBJECTS AND METHODS: Seventy-eight pa
• PMID 26138113

• Bedside ultrasound-guided percutaneous cystostomy in an infant in the neonatal intensive care unit.

• Luk YS1, Shin JH2, Khoo JL1.
• Ultrasonography (Seoul, Korea).Ultrasonography.2015 Oct;34(4):324-7. doi: 10.14366/usg.14058. Epub 2015 Jan 31.
• We describe a case of an infant born at 39 weeks of gestation who was in the neonatal intensive care unit for postoperative management of congenital heart disease and underwent bedside ultrasound-guided percutaneous cystostomy to treat an iatrogenic urethral injury. The procedure was uneventful, suc
• PMID 25754366

• Decompression of Odontogenic Cystic Lesions: Past, Present, and Future.

• Castro-Núñez J1.
• Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.J Oral Maxillofac Surg.2015 Sep 21. pii: S0278-2391(15)01272-0. doi: 10.1016/j.joms.2015.09.004. [Epub ahead of print]
• Tumors and cystic lesions of the jawbones have been described since the late 1600s and it took another 200 years for classification systems to appear in the medical, surgical, and dental literatures. In the late 1800s, Carl Partsch introduced cystostomy, a method by which the cyst is converted into
• PMID 26428611

Japanese Journal

• 思春期男子膀胱尿道異物の1例

• 泌尿器科紀要 58(9), 519-521, 2012-09
• NAID 40019429592

• Suprapubic versus transurethral bladder drainage after radical prostatectomy : Impact on patient discomfort

• International journal of urology 19(6), 587-590, 2012-06-01
• NAID 10030755694

• Iatrogenic hypospadias: a rare complication due to chronic placement of urethral catheters

• Shimane journal of medical science 25, 21-23, 2008-12-01
• NAID 120005585424

Related Links

• Suprapubic Cystostomy: Background, Indications ...

Procedural planning There are 2 key issues that must be kept in mind when placement of a suprapubic cystostomy is being considered. The first issue is whether the patient’s bladder can be sufficiently well drained with ...

• Suprapubic Cystostomy Technique: Approach Considerations ...

Adverse events associated with suprapubic cystostomy may include inadvertent urethral catheterization, intraperitoneal extravasation (without a history of previous surgery), altered body image, latex allergy ...

---

★リンクテーブル★

リンク元	「経皮的恥骨上穿刺」
関連記事	「cystostomy」

「経皮的恥骨上穿刺」

　　[★]

英

percutaneous suprapubicaspiration

同

恥骨上膀胱穿刺 suprapubic bladder puncture、恥骨上膀胱造瘻術 suprapubic cystostomy

「cystostomy」

　　[★]

• 膀胱瘻造設、膀胱瘻造設術