We performed augmentation enterocystoplasties in 15 spinal cord injury patients for treatment of high pressure neurogenic bladder and severely contracted bladder to avoid indwelling catheter. A cup-patch technique of ileocystoplasty was used in 7 patients and Mainz pouch in 7 patients and Hemi-kock pouch in 1. In postoperative complications, urinary leakage was developed but subsided spontaneously in 2 patients and right ureteral obstruction was developed & solved by reimplantation in 1 patient. After a mean followup of 24 months 14 patients were continent with clean intermittent catheterization, but 1 patient was sometimes incontinent. All upper urinary tract remained stable or improved and the symptoms of autonomic dysrefexia and symptomatic urinary tract infection were disappeared. If a patient is able to and strongly motivated to perform intermittent self-catheterization, augmentation enterocystoplasty with clean intermittent catheterization is a reasonable option for the management of spinal cord injuries with high pressure neurogenic bladders.
Catheters, Indwelling ; Follow-Up Studies ; Humans ; Intermittent Urethral Catheterization ; Postoperative Complications ; Replantation ; Spinal Cord Injuries* ; Spinal Cord* ; Ureteral Obstruction ; Urinary Bladder ; Urinary Bladder, Neurogenic ; Urinary Tract ; Urinary Tract Infections

Renal medullary fibromas which are arisen from the interstitial cell of the renal medulla show small, multiple nodules on autopsy Findings over age 50, but they are very rare clinically. thus several cases have been reported until 1982. When the tumors are large. their clinical presentation is characterized by loin pain, hematuria and palpable mass. The preoperative diagnosis with radiologic studies is very difficult and the confirmative diagnosis was made with pathologic finding. Nephrectomy has been the most common useful treatment and local excision can be used. We report a case of renal medullary interstitial cell fibroma in a 17-year-old girl presented with a child-head sized palpable mass on the left upper quadrant.
Adolescent ; Autopsy ; Diagnosis ; Ejaculation* ; Female ; Fibroma ; Hematuria ; Humans ; Male ; Nephrectomy ; Spinal Cord Injuries* ; Spinal Cord*