著者

神田 文義 服部 祐介 中橋 満 堀内 満水雄

出版者

泌尿器科紀要刊行会

雑誌

泌尿器科紀要 (ISSN:00181994)

巻号頁・発行日

vol.50, no.6, pp.443-444, 2004-06

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53歳男.自慰目的で尿道口より径6mmのビニールチューブを3m挿入し,1m引き抜いた時点で,抜去不能となった.尿道を自己切開し,異物抜去を試みたがうまくいかなかった.翌日,尿漏,陰嚢腫大,発熱を主訴に受診した.膀胱高位切開による膀胱尿道異物除去術,尿道修復術を施行した.チューブが前立腺尿道部にはまりこみ,出血が著明であったので,尿道にバルーンカテーテルを留置,縫合した.膀胱瘻を造設し,膀胱前腔と陰嚢会陰皮下にドレーンを留置した.経過は順調で,術後21日目に尿道カテーテルを抜去し,術後24日目には膀胱瘻を抜去した.排尿状態は良好であったWe report a rare case of vesico-urethral foreign body with urinary fistula. On March 12, 2002, a 53-year-old single men inserted a 3 m vinyl tube 6 mm in diameter into his urethra by himself for the purpose of masturbation, but he could not remove the tube. He cut his urethra by himself and tried to remove the tube. The next day he was admitted to our hospital, with complaints of urinary fistula and fever. Open surgical removal of foreign body, cystostomy and repair of bulbous portion of the urethra were performed. At 24 days postoperatively the cystostomy and urethral catheter were removed and urination became smooth.

著者

服部 祐介 山内 仁 大工谷 新一 中里 伸也

出版者

関西理学療法学会

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.6, pp.123-129, 2006 (Released:2007-01-30)

参考文献数

16

被引用文献数

2

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We had a patient with a tear of rectus femoris during running. As a characteristic finding, a big hematoma was identified by ultrasonography. The patient wanted to return to sports activities as soon as possible, because she was a competitor in an important game in a pennant race. So, we selected acupuncture therapy for improvement of hematoma. Especially, we chose electro-acupuncture, which is thought to be effective for early healing. As a result of electro-acupuncture therapy for three weeks, the hematoma was decreased however muscle activity had declined as measured by surface electromyography. Therefore we gave intermittent continuous wave pulse stimulation of 30 Hz to the rectus femoris. After the stimulation, muscle contraction was improved. The patient had no physical findings and returned to sports activities.