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Annals of Physical and Rehabilitation Medicine
Volume 56, n° S1
page e83 (octobre 2013)
Doi : 10.1016/j.rehab.2013.07.452
Blessés médullaires

An unusual foreign body within the bladder in a paraplegic woman
 

J.-M. Wirotius , D. Vignal
 Centre de réadaptation, Le Pré-Saint-Gervais, 10, rue Simonot, 93310 Le Pré-Saint-Gervais, France 

Corresponding author.

Keywords : Paraplegia, Neurologic bladder, Intravesical foreign body, Patient education


Introduction .– Intravesical foreign body was found in a woman traumatic paraplegia heterosondage during a routine ultrasound.

Observation. – A bladder ultrasound, performed in a 58-year-old post-traumatic paraplegia with neurogenic bladder to measure the volume post voiding during hospitalization for learning self survey reveals a hyperechoic foreign body shaped tube 7cm long with a diameter of 0.8cm. Until this patient was supported by home care nurses performing the heterosondages because it had not acquired sufficient skills for self-catheterization in two training consultations.

The diagnosis of foreign body is confirmed by a pelvic scan. The patient is supported by the rapidly urology team's referral hospital. The foreign body removed by cystoscopy so traumatic, proves to be a case of catheter short. After discussion with the patient, this case would have been introduced at a heterosondage at home, and it can not specify the date of introduction. Hypotonia and perineal urethral local hypoaesthesia and taking morphine could facilitate this introduction.

Discussion .– The presence of a urinary catheter bag as intravesical foreign body is an unexpected and unusual complication [1]. It highlights the fact that nurses in the city do not always have the knowledge and training in the use of new materials such as short probes women. Ideally the implementation of a program of intermittent catheterization should be best in a rehabilitation stay or during iterative consultation with regular monitoring of patients by a specialized team [2].

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References

Rafique M. Intravesical foreign bodies Urol J 2008 ;  5 : 223-231
Sofmer. Éducation thérapeutique du patient aux autosondages. Guide méthodologique. 2009.


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