cystostomy

• 膀胱瘻造設、膀胱瘻造設術

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/12/19 21:06:19」(JST)

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Suprapubic cystostomy
Intervention
A newly place suprapubic catherter entering the abdomen just above the pubic bone
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).

Illustrations
Illustration depicting the correct way to secure the tubing and leg bag of a suprapubic catheter on a male.  Illustration depicting the correct placement of a suprapubic catheter on a female.  Illustration depicting the proper way to clean around a suprapubic catheter.

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 cystotomy" 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. In modern medical terminology, "cystotomy" without the "s" refers to any surgical incision or puncture into the bladder, such as to remove urinary calculi or to perform tissue repair and reconstruction. "Cystostomy" is surgery specifically to provide drainage.

See also

• List of surgeries by type

References

External links

• Cystostomy description
• Vesicostomy care of infants and children

UpToDate Contents

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• 1. 医原性尿菅損傷の外科的修復 surgical repair of an iatrogenic ureteral injury
• 2. 婦人科外科手術における尿路損傷：評価およびマネージメント urinary tract injury in gynecologic surgery evaluation and management
• 3. プルーンベリー症候群 prune belly syndrome
• 4. 腹式子宮摘出術 abdominal hysterectomy
• 5. 成人における急性陰嚢症の評価 evaluation of the acute scrotum in adults

English Journal

• Antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis.

• Chigerwe M1,2,3, Mavangira V1,2,3, Byrne BA1,2,3, Angelos JA1,2,3.
• Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc.J Vet Diagn Invest.2017 May;29(3):316-320. doi: 10.1177/1040638717695607. Epub 2017 Mar 28.
• PMID 28351339

• The Immediate Management of Pelvic Fracture Urethral Injury: Endoscopic Realignment or Cystostomy?

• Zou Q1, Zhou S1, Zhang K1, Yang N1, Fu Q2.
• The Journal of urology.J Urol.2017 Apr 22. pii: S0022-5347(17)57748-4. doi: 10.1016/j.juro.2017.04.081. [Epub ahead of print]
• PMID 28442385

• Suprapubic cystostomy versus nonsuprapubic cystostomy during monopolar transurethral resection of prostate: a propensity score-matched analysis.

• Guo RQ1, Meng YS1, Yu W1, Zhang K1, Xu B1, Xiao YX1, Wu SL1, Pan BN1.
• Asian journal of andrology.Asian J Androl.2017 Apr 18. doi: 10.4103/aja.aja_6_17. [Epub ahead of print]
• PMID 28440263

Japanese Journal

• 症例 保存的加療で治癒した巨大前立腺膿瘍

• 岩崎 誠,小林 将貴,宇田川 幸一
• 臨床泌尿器科 66(9), 689-691, 2012-08
• NAID 40019397045

• 脊髄損傷による右部分骨盤切断ならびに左股関節離断の座位保持再獲得のために作製した骨盤義足ソケット

• 中西 貴江,渡邉 哲朗,池田 篤志,和田 太,蜂須賀 研二
• 産業医科大学雑誌 34(2), 175-182, 2012-06-01
• 脊髄損傷後対麻痺で,右部分骨盤切除と左股関節離断術を施行した患者に対して,骨盤義足ソケットを作製した.重要な問題点は,骨盤切断端が非対称であることによる座位保持困難であった.我々は,座位保持の再獲得を主な目的として,骨盤義足ソケットを作製した.構成は,2重ソケット式で,外側は硬く,内側は柔らかい素材を用いた.特徴として,褥瘡の再発を予防するための圧分散を図り,安定した座位保持のためにソケットをわず …
• NAID 110009457183

Related Links

• Cystostomy

13 Sep 2011 ... Cystostomy. Cystostomy, the surgical creation of an opening into the bladder, may be a planned component of urological surgery or an iatrogenic occurrence.

• Suprapubic cystostomy - Wikipedia, the free encyclopedia

A suprapubic cystostomy (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 ...

Related Pictures

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★リンクテーブル★

リンク元	「膀胱瘻設置術」「膀胱造瘻術」「膀胱瘻造設術」「膀胱瘻造設」「膀胱瘻術」
拡張検索	「cholecystostomy」「trocar cystostomy」

「膀胱瘻設置術」

　　[★]

英

cystostomy

ラ

cystostomia

同

膀胱造瘻術、膀胱フィステル形成術

関

膀胱瘻孔設置術

「膀胱造瘻術」

　　[★]

英

cystostomy, vesicostomy

同

膀胱瘻造設術

関

膀胱瘻設置術、膀胱瘻孔設置術

「膀胱瘻造設術」

　　[★]

英

cystostomy

関

膀胱瘻造設、膀胱造瘻術

「膀胱瘻造設」

　　[★]

英

cystostomy

関

膀胱瘻造設術

「膀胱瘻術」

　　[★]

英

cystostomy

関

尿路変更術

「cholecystostomy」

　　[★]

胆嚢造瘻術、胆嚢瘻造設、胆嚢瘻造設術、胆嚢フィステル形成術

「trocar cystostomy」

　　[★] トロカール膀胱造瘻術