introduction: significant perineal injuries and major pelvic fractures resulting from blunt trauma manifest a high-energy injury. open pelvic fractures (with perineal injury) are associated with higher mortality rates of 40 to 60 %. methods: this study was a review of patients with multiple traumas comprising of major pelvic fracture and severe perineal injuries (shahid kamyab hospital in mashh...

BACKGROUND AND PURPOSE Current methods of suprapubic cystostomy (SPC) catheter insertion may be difficult for patients in poor health and can result in significant morbidity and mortality. These include a highly invasive open procedure, as well as the use of the percutaneous trocar punch methods, commonly associated with short-term SPC. We present the first human experience with the Transurethr...

We describe a case of an infant born at 39 weeks of gestation who was in the neonatal intensive care unit for postoperative management of congenital heart disease and underwent bedside ultrasound-guided percutaneous cystostomy to treat an iatrogenic urethral injury. The procedure was uneventful, successful, and no complications were noted. This case demonstrates that this procedure is safe and ...

We describe a case of a 12-year-old boy with an isolated macroscopic hematuria. A urinary ultrasound revealed a bladder tumor next to the right ureteric orifice. A biopsy revealed a urothelial papilloma. He underwent a successful resection by cystostomy. This benign tumor is extremely rare in children and its management remains controversial. 2016 The Authors. Published by Elsevier Inc. This is...

INTRODUCTION Spinal cord injury patients are at risk for developing unusual complications such as autonomic dysreflexia while changing suprapubic cystostomy. We report a male patient with spina bifida in whom the Foley catheter was placed in the urethra during change of suprapubic cystostomy with serious consequences. CASE PRESENTATION A male patient, born in 1972 with spina bifida and parapl...

A one-year-old alpine wether was presented for emergency evaluation of stranguria. Diagnostics identified a moderately distended bladder and mild dehydration. Preliminary lateral radiographs two metallic structures consistent with projectile pellets in the pelvic perineal regions no evidence radiopaque uroliths. tube cystostomy performed, contrast urethrogram revealed one region proximity to ur...

PURPOSE Persistent cloaca is one of the most severe types of anorectal malformation. Appropriate initial drainage is difficult due to their various malformations and hydrocolpos or dilated urinary bladder. Corrective surgery also differs among individual patients. We describe our experiences with the surgical management of children with persistent cloaca. METHODS We retrospectively reviewed 1...

A 22-year-old male sustained C-6 tetraplegia in 1992. In 1993, intravenous pyelography revealed normal kidneys. Suprapubic cystostomy was performed. He underwent open cystolithotomy in 2004 and 2008. In 2009, computed tomography revealed bilateral renal calculi. Coagulum pyelolithotomy of left kidney was performed. Pleura and peritoneum were opened. Peritoneum could not be closed. Following sur...