Case report of life-threatening complications following cystectomy in a woman with neurogenic lower urinary tract dysfunction treated with indwelling bladder catheter for about 30 years

Case report of life-threatening complications following cystectomy in a woman with neurogenic lower urinary tract dysfunction treated with indwelling bladder catheter for about 30 years

Authors

  • Matteo Maltagliati Urology Unit, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense, University of Modena and Reggio Emilia, Modena, Italy
  • Gianluca Sampogna Urology Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
  • Silvia Secco Urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
  • Antonio Galfano Urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
  • Emanuele Montanari Urology Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
  • Salvatore Micali Urology Unit, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense, University of Modena and Reggio Emilia, Modena, Italy
  • Bernardo Rocco Urology Unit, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense, University of Modena and Reggio Emilia, Modena, Italy
  • Michele Spinelli Neuro-urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

Keywords:

neurogenic bladder, cystectomy, neurogenic lower urinary tract dysfunction, bladder stones, bladder catheter, intermittent catheterization

Abstract

Patients with neurogenic lower urinary tract dysfunction (NLUTD), specially with indwelling bladder catheter (iBC), have an increased risk of developing bladder stones, incomplete bladder emptying, recurrent urinary tract infections, sepsis, urethral trauma and bladder cancer. We present the case of a patient with a large bladder stone in iatrogenic NLUTD treated with iBC for about 30 years, who underwent a cystectomy followed by several life-threatening complications.

 

References

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Stöhrer M, Castro-Diaz D, Chartier-Kastler E, Kramer G, Mattiasson A, Wyndaele JJ. Guidelines on neurogenic lower urinary tract dysfunction. Prog Urol. 2007; 17: 703-55.

Pickard R., ChadWick T., Brennand C, et al., Continuous low-dose antibiotic prophylaxis to prevent urinary tract infection in adults who perform clean intermittent self-catheterisation: the AnTIC RCT., Health Technol Assess. 2018 May;22(24):1-102.

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Published

30-04-2021

Issue

Section

Case Reports: General Surgery and Miscellanea

How to Cite

1.
Maltagliati M, Sampogna G, Secco S, Galfano A, Montanari E, Micali S, et al. Case report of life-threatening complications following cystectomy in a woman with neurogenic lower urinary tract dysfunction treated with indwelling bladder catheter for about 30 years. Acta Biomed [Internet]. 2021 Apr. 30 [cited 2024 Jul. 20];92(S1):e2021086. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/8615