過敏性尿道に対し膀胱壁を利用した禁制膀胱瘻を作成した1例
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概要
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51歳女.自己導尿の受け入れの困難であった症例に対し,膀胱壁を用いた禁制膀胱瘻を作成し著明なQOLの改善をみた.自己導尿を強いていた過敏尿道ともいうべき症例に対して,充分な説明と理解のもとで試みてよい手術であるA case of sensitive urethra treated with continent vesicostomy is reported. She suffered from atonic bladder due to a previous pelvic surgery and could not continue clean intermittent self-catheterization because of pain and discomfort, or sensitive urethra. Continent vesicostomy using detrusor tube following Mitrofanoff principle was performed. Postoperatively, the daily life activity improved markedly. Mitrofanoff operation is considered to be applicable to the cases with sensitive urethra after sufficient explanation and consent.