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A CLINICAL CASE OF UROLOGICAL REHABILITATION OF A CHILD WITH YATROGENIC COMPLICATIONS OF THE URINARY TRACT DUE TO A SPINAL CORD INJURY


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Abstract

The outcome both of patient recovery and spinal injury, in addition to a variety of clinical factors, is significantly affected by consequences and complications occurring during all periods of injury management. In acute, early and intermediate stages, complications of pelvic organs, according to different authors, are found in 77 - 100% of cases. The described clinical case serves as an illustration of irreversible complications had arisen because of improper management of a spinal cord injury (SCI) patient. An inadequate technique for urine diversion, underestimation of specific demands of the SCI patient, lack of proper positioning skills - all mentioned impacts caused inflammatory and trophic disorders. The article discusses an experience of urological rehabilitation specialists treated a child with iatrogenic complications of a urinary tract due to SCI at levels from Th8 to Th10. Particular attention is paid to mistakes made at the early rehabilitation stage and caused iatrogenic obliteration of the urethra in the area of penoscrotal angle and iatrogenic lysis of the bulbar urethra what inevitably worsened patient’s recovery and the quality of his and his family life.


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