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作为尿道管外体的密封剂:手术管理中的经验教训
Faraz Sharif1, Reuben Lai1, Angus Hall1
1Department of Urology, Mid Yorkshire Teaching NHS Trust, Wakefield, GBR.
Cureus
|November 20, 2025
概括
一个罕见的病例详细介绍了一名男性患者,他自己注射了密封剂,进入了膀. 开放式手术成功地去除了异物,突出了异常尿路阻塞的复杂管理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学案例报告 病例报告
- 外国机构管理的管理
背景情况:
- 在下泌尿道的密封剂异物很少见.
- 在尿道内自给自注入避孕套,可能导致尿道内迁移.
- 这种迁移可能会导致空白症状和血.
研究的目的:
- 报告一种罕见的内密封剂迁移病例.
- 讨论诊断和管理方面的挑战.
- 对于复杂的尿路外体的最佳治疗策略的文献做出贡献.
主要方法:
- 一个男性患者的病例介绍,他自己注射了密封剂.
- 诊断成像包括放射和囊图.
- 试图进行内镜检索,随后进行开放式手术切除 (Pfannenstiel囊切除).
主要成果:
- 鉴定出放射性不透明的外来物质从气囊尿道延伸到膀.
- 由于密封剂的尺寸和一致性,内镜检索没有成功.
- 通过开放式囊瘤切除成功完好无损地去除异物体.
- 在后续研究中没有发现任何并发症的无事件恢复.
结论:
- 静脉内密封剂是一种不寻常且复杂的异物.
- 当内镜检索失败时,开放性囊切除可能是最终的管理选择.
- 这一案例凸显了对于这种罕见的泌尿突发症需要基于证据的管理指南的必要性.
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