尿液收集袋控制閥新應用
病例報告
張裕隆1,2,3、李昇平1、柳瑞明1、蔣政晏1、傅士彰1
1衛生福利部桃園醫院泌尿科；2中原大學生物醫學工程學系；3國立陽明大學醫學院泌尿學科
New application of the urine collection bag control valve
Two case reports
Yu-Lung Chang1,2,3, Sheng-Pien Lee1, Jui-Ming Liu1, Cheng-Yen Chiang1, Shih-Chang Fu1
Division of Urology, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan1 ; Department of Biomedical Engineering, College of Engineering, Chung Yuan Christian University, Chung Li, Taiwan2; Department of Urology, National Yang-Ming University, School of Medicine, Taipei, Taiwan3
This 69-year-old male patient has the history of DM with poor control. He suffered from scrotal swelling with pus formation for several days. He was sent to our emergency department for help. Fournier’s gangrene was diagnosed and he received antibiotics treatment, several times of debridement and suprapubic cystostomy for the Fournier’s gangrene. The patient’s proximal to distal penile urethra and tunica albuginea of right corpora cavernosa were involved by the severe infection. Then the patient’s urethra was closed in proximal penile urethra and the wound was closed layer by layer. The patient’s wound healed well.
Due to the patient’s daily activity was well, the urine collection bag connecting to cystostomy tube bothered him very much. So we used the urine control valve of the urine collection bag to connect with the cystostomy tube directly, then the patient could control the urine drainage from the urinary bladder by the urine control valve. The patient revealed that the urine control valve improved his daily life and social activity.
Another 58 y/o male patient suffered from difficult voiding for a long time. He received cystoscopy and distal penile urethral stricture was noted. He received dilation of urethra by sounding and 22 Fr. Silicone Foley tube was inserted for stenting of urethra.
Due to the patient worked at the traditional market, he didn’t want to use the urine collecting bag. We used the urine control valve of the urine collection bag to connect the Foley tube directly. Then the patient could do his usual work without embarrassment. Besides, the urine control valve was also helpful in the patients suffering from acute urinary retention with the Foley tube indwelling.
Some commercial urine control valves have been developed. But these devices were expensive. The urine control valve was cheap. This new application of the urine collection bag control valve may be helpful for the patient with good daily activity needed for Foley tube indwelling.