Acute urinary retention in ileum conduit urinary diversion

Three years after ileum conduit urinary diversion, a 68-year-old patient was referred to us with acute urinary retention. Ultrasound examination demonstrated an extremely dilated, urine-filled ileum conduit and dilated kidneys. Placing a catheter into the subfascial part of the conduit to drain the...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2005-03, Vol.65 (3), p.593-593
Main Authors: Gronau, E., Pannek, J.
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Humans
Ileum - surgery
Male
Urinary Diversion - adverse effects
Urinary Retention - etiology
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Summary:Three years after ileum conduit urinary diversion, a 68-year-old patient was referred to us with acute urinary retention. Ultrasound examination demonstrated an extremely dilated, urine-filled ileum conduit and dilated kidneys. Placing a catheter into the subfascial part of the conduit to drain the urine was impossible because of extreme kinking and compression of the conduit in the fascial level. Ultrasound-guided puncture of the conduit was performed, and 170 mL of urine was aspirated. Afterward, a 16F catheter was easily placed. Clear urine drained. At last follow-up, no further episodes of urinary retention had occurred.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2004.09.043