World Journal of Clinical & Medical Images(WJCMI)
ISSN: 2833-9312 | DOI: 10.33140/WJCMI
Short Communication - (2024) Volume 3, Issue 1
Continent Cystostomy Using the Benchekroun Hydraulic Valve: Role of Self-Catheterization to Prevent Serious Complications
Received Date: Feb 09, 2024 / Accepted Date: Mar 15, 2024 / Published Date: Mar 20, 2024
Copyright: ©© 2024 Jaafar Fouimtizi, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Citation: Jaafar, F., Youssef, M., Amine, S., Tariq, K., Khalid, E. K. et al. (2024). Continent Cystostomy Using the Benchekroun Hydraulic Valve: Role of Self-Catheterization to Prevent Serious Complications. World J Clin Med Img, 3(1), 01-02.
Abstract
Continent urinary diversion, such as Benchekroun hydraulic valve, are a useful adjunct in the elaboration of continent urinary reservoir. This valve can be installed either as a salvage technique for failed efferent lambs or as a de novo application on conventional ileocolic bladders [1].
Keywords
Self-Catheterization, Continent Urinary Diversion, Benchekroun Hydraulic valve
Introduction
Continent urinary diversion, such as Benchekroun hydraulic valve, are a useful adjunct in the elaboration of continent urinary reservoir. This valve can be installed either as a salvage technique for failed efferent lambs or as a de novo application on conventional ileocolic bladders [1]. We report the case of a 46-year-old female patient who underwent 18 years ago a cystectomy for bladder exstrophy and a neobladder reconstruction with a Benchekroun hydraulic valve. Later on, the patient has developed a schizophrenia and stopped doing the self-catheterization. She was taken to the emergency department by her family for a deterioration of general condition. The blood sample found a renal failure with a hyperkalemia at 7mEq/L and a CT-Scan showed a bilateral pyelocaliceal dilation with multiple big neobladder stones. The patient unfortunately passed away due to a respiratory distress secondary to her nephrogenic pulmonary edema. We therefore highlight the role of self-catheterization in continent urinary diversion otherwise severe complications can occur such as bladder stones or renal failure. Another point to emphasize is the absence of cognitive disorders so the patient can ensure an intermittent self-catheterization.
Figure 1: CT-Scan Showing Multiple Bladder Stones
Figure 2: CT-Scan Showing Bilateral Pyelocaliceal Dilation
References
1. Quinlan, D. M., Leonard, M. P., Brendler, C. B., Gearhart, J. P., & Jeffs, R. D. (1991). Use of the Benchekroun Hydraulic Valve asA Catheterizable Continence Mechanism. The Journal of Urology, 145(6), 1151–1155.