A Rare and Lethal Complication of External Collecting Device for Neuropathic Voiding Dysfunction – a Case Report

用外集尿器具治療神經性膀胱症導致罕見而致命的併發症－病例報告

10.6452/KJMS.200202.0099

鄭皓碩(Hao-Shuoh Jeng)；吳文正(Wen-Jeng Wu)；蔡秀男(Hisu-Nan Tsai)；周以和(Yii-Her Chou)；黃俊雄(Chun-Hsiung Huang)

external urine collecting device ； condom ； neurogenic bladder ； neuropathic voiding dysfunction

The Kaohsiung Journal of Medical Sciences

18卷2期（2002 / 02 / 01）

99 - 101

英文

神經性膀胱症通常發生在一些有神經疾患的病人身上，他們通常有膀胱排空困難、膀胱集尿不易、或是尿道擴約肌方面出問題。根據病人不同的狀況，有不同的治療計畫被醫師及家屬決定，而尿套是其中一種常被選擇的方法。我們報告一個罕見而又致命的併發症，來提醒醫師及家屬必須小心注意。一位老年癡呆症合併神經性膀胱症的病人因意識喪失送來急診。一系列檢查顯示敗血性休克。感染源來自尿套使用造成嚴重包皮感染。經清瘡後才能放尿管及取得尿液檢查。雖然傷口癒全良好，病人仍於五日後死於嚴重的敗血症及全身感染。

We present a rare and severe complication of condom. A 78-year-old man of dementia and neuropathic voiding dysfunction were sent to our Emergency Room due to loss of consciousness. Preliminary examinations showed only tachycardia and hypotension that revealed a condition of septic shock. The abnormal laboratory examinations revealed leukocytosis and deteriorated liver and renal function. Urinalysis was unable to be collected at emergency room because it was difficult to indwell the Foley catheter. The penis looked more than twice normal length. Strong parenteral antibiotics were given after blood culturing with removal of the condom. After debridement, the catheterization was successful. The circumcised wound healed gradually post-operation. However, he died 5 days later because of his severe urosepsis.