Spontaneous Urinary Voiding of a Metallic Implant After Operative Fixation of the Pubic Symphysis
| Autor: | Eddy A. Heldeweg, Jan M. Ultee, Rudolf W. Poolman, Martin J. Heetveld |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Urinary Fistula Symphysis Fistula medicine.medical_treatment Bone Screws Urination Pubic symphysis Fracture Fixation Internal Ureter Foreign-Body Migration medicine Humans Internal fixation Orthopedics and Sports Medicine medicine.diagnostic_test business.industry Pubic Symphysis Urography Prostheses and Implants General Medicine medicine.disease Advanced trauma life support Surgery Cystostomy medicine.anatomical_structure Metals Diastasis Retrograde urethrogram Urinary Catheterization business |
| Zdroj: | The Journal of Bone & Joint Surgery. 86:645-646 |
| ISSN: | 0021-9355 |
| Popis: | To The Editor: With great interest, we read “Spontaneous Urinary Voiding of a Metallic Implant After Operative Fixation of the Pubic Symphysis. A Case Report” (2003;85:1129-32), by Fridman et al. We described a similar case of a patient who voided a screw nine years after internal fixation of diastasis of the pubic symphysis1. The Advanced Trauma Life Support program advises doctors to perform a retrograde urethrogram in patients in whom urologic injury is suspected2. Did the authors make a retrograde urethrogram or cystogram at presentation after the initial trauma to diagnose an injury to the ureter or bladder? In a review of urethral injuries after pelvic fractures in females, Perry and Husmann reported that 50% of urethral injuries were missed because of inadequate urologic assessment3. The initial bladder injury may have been caused by the trauma itself, but bladder herniation within the symphysis or iatrogenic injury are also possibilities4. Did the authors consider performing a cystogram to diagnose a fistula tract to the osteosynthesis material? In the case that we presented, a cystogram revealed a fistula from the anterior part of the bladder to … Corresponding author: Monik Fridman, MD Department of Orthopaedics Hospital Sao Lucas Pontificia Universidade Catolica do Rio Grande do Sul-PUCRS Avenida Ipiranga 6690, Porto Alegre, RS Brazil 90610-000 mfridman{at}uol.com.br |
| Databáze: | OpenAIRE |
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