首页> 外文期刊>The journal of sexual medicine >Bowel Evisceration Through the Bladder Neck in a Paraplegic Female Secondary to Urethral Coitus
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Bowel Evisceration Through the Bladder Neck in a Paraplegic Female Secondary to Urethral Coitus

机译:截瘫女性继发于尿道性交的膀胱颈肠内脏切除术

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Introduction. Urethral coitus is rarely reported in the literature. The majority of reported cases have been secondary to vaginal agenesis or hymenal anomalies. Aim. We report a case of urethral coitus in a paraplegic patient with a patulous urethra resulting from chronic indwelling catheter use, with the unfortunate presentation of bladder rupture and evisceration per urethra. To our knowledge, this is the only report of urethral coitus due to sequelae from an indwelling catheter, as well as the only report of the subsequent complication of bowel evisceration per urethra. Results. After initial temporization at an outside facility, we were able to perform primary cystorrhaphy. There was no need for bowel resection. The patient has chosen to defer her decision on permanent reconstruction. Conclusions. Urethral coitus is rare and the subsequent ramifications can be devastating, particularly in neurologically impaired patients. This unusual case speaks to the importance of properly caring for the neurogenic bladder.
机译:介绍。文献中很少报道尿道性交。大多数报道的病例是继发于阴道发育不全或处女膜异常的病例。目标。我们报告了一名截瘫患者,因长期使用留置导尿管而导致尿道延误,发生尿道性交病例,不幸的是膀胱破裂和每个尿道的内脏脱落。据我们所知,这是由于留置导管引起的后遗症引起的尿道性交的唯一报道,也是随后每个尿道肠内腔并发症的唯一报道。结果。在外部设施进行初步临时配置后,我们能够进行原发性膀胱镜检查。无需进行肠切除。患者选择推迟对永久性重建的决定。结论。尿道性交很少见,随后的后果可能是毁灭性的,特别是在神经系统受损的患者中。这种不寻常的情况说明了正确照顾神经源性膀胱的重要性。

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