Acute urinary retention in ileum conduit urinary diversion.
Three years after ileum conduit urinary diversion, a 68-year-old patient was referred to us with acute urinary retention. Ultrasound examination demonstrated an extremely dilated, urine-filled ileum conduit and dilated kidneys. Placing a catheter into the subfascial part of the conduit to drain the urine was impossible because of extreme kinking and compression of the conduit in the fascial level. Ultrasound-guided puncture of the conduit was performed, and 170 mL of urine was aspirated. Afterward, a 16F catheter was easily placed. Clear urine drained. At last follow-up, no further episodes of urinary retention had occurred.
Gronau
E
E
Urologische und Neurourologische Klinik der Ruhr-Universität Bochum, Marienhospital, Herne, Germany. eckart.gronau@dgn.de
Pannek
J
J
D000208:Acute Disease; D000368:Aged; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D014547:Urinary Diversion / Q000009:adverse effects*; D016055:Urinary Retention / Q000209:etiology*