{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T06:38:26Z","timestamp":1698388706499},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cases Journal"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Suprapubic cystostomy is performed in spinal cord injury patients in order to prevent complications associated with long-term urethral catheter drainage. We report a patient in whom suprapubic catheter did not drain urine satisfactorily and imaging studies revealed hourglass bladder.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A female patient sustained paraplegia in a traffic accident in 1994 at the age of seventeen years. When she was discharged from spinal unit, she was performing self- catheterisations. In 1995, indwelling urethral catheter drainage was instituted, as she was not able to cope up with self-catheterisations. Intravenous urography, performed in 1994, 1997, 2000 and 2003 showed urinary bladder of normal shape. In 2004, this patient developed frequent blockages and bypassing of catheter; therefore, suprapubic cystostomy was performed. In 2005, she was leaking urine per urethra; therefore, an indwelling catheter was inserted; both suprapubic and urethral catheters drained urine. In 2008, suprapubic catheter failed to drain any urine. Cystogram revealed hourglass bladder. The balloon of suprapubic Foley catheter was located in the upper compartment of hourglass bladder whereas the urethral catheter was placed in the inferior compartment. Ultrasound examination of urinary bladder showed two compartments of hourglass bladder separated by a narrow waist. Computed tomography cystogram delineated smaller superior and larger inferior compartment of the hourglass bladder. At present this patient is happy to manage her bladder with suprapubic and urethral catheters.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>When prompt replacement of a mal-functioning suprapubic catheter fails to rectify the problem, computer tomography cystography should be performed to check precise location of suprapubic catheter and structural abnormalities of urinary bladder. In this patient, cystogram revealed hourglass bladder. Possible reasons for development of hourglass bladder in spinal cord injury patients are: traction applied to dome of urinary bladder by Foley balloon when suprapubic catheter is taped tightly to anterior abdominal wall for several months; uncoordinated contractions of detrusor muscle; chronic cystitis leading to hypertrophy of bladder wall.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1757-1626-2-6866","type":"journal-article","created":{"date-parts":[[2009,7,22]],"date-time":"2009-07-22T12:32:43Z","timestamp":1248265963000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hourglass urinary bladder in a spinal cord injury patient - unusual late complication of suprapubic cystostomy: a case report"],"prefix":"10.1186","volume":"2","author":[{"given":"Subramanian","family":"Vaidyanathan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bakul M","family":"Soni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurpreet","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Mansour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2009,5,18]]},"reference":[{"key":"625_CR1","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1111\/j.1460-9592.2005.01632.x","volume":"16","author":"JM Szolnoki","year":"2006","unstructured":"Szolnoki JM, Puskas F, Sweeney DM, Camporesi EM, Upadhyay J: Hyponatremic seizures after suprapubic catheter placement in 7-year-old child. Paediatr Anaesth. 2006, 16: 192-194. 10.1111\/j.1460-9592.2005.01632.x.","journal-title":"Paediatr Anaesth"},{"key":"625_CR2","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1007\/BF02850140","volume":"23","author":"S Vaidyanathan","year":"2006","unstructured":"Vaidyanathan S, Soni BM, Singh G, Hughes PL: Fatality due to septicemia and hemorrhage in a patient with spinal cord injury and ischemic heart disease with the need for long-term catheter drainage. Adv Ther. 2006, 23: 354-358. 10.1007\/BF02850140.","journal-title":"Adv Ther"},{"key":"625_CR3","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1186\/1757-1626-1-25","volume":"1","author":"S Vaidyanathan","year":"2008","unstructured":"Vaidyanathan S, Hughes PL, Mansour P, Soni BM: Burrowing of urinary bladder wall by the tip of a size 22 Fr silicone foley catheter in an adult male patient with multiple sclerosis and suprapubic cystostomy: should caution be exercised in using a size 22 Fr silicone foley catheter for long-term drainage of neuropathic bladder?. Cases J. 2008, 1: 25-10.1186\/1757-1626-1-25.","journal-title":"Cases J"},{"key":"625_CR4","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1046\/j.1464-410X.2002.03036.x","volume":"90","author":"R Gonz\u00fflez","year":"2002","unstructured":"Gonz\u00fflez R, Jednak R, Franc-Guimond J, Schimke CM: Treating neuropathic incontinence in children with seromuscular colocystoplasty and an artificial urinary sphincter. BJU Int Dec. 2002, 90: 909-911. 10.1046\/j.1464-410X.2002.03036.x.","journal-title":"BJU Int Dec"},{"key":"625_CR5","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1046\/j.1464-410X.2002.02781.x","volume":"89","author":"A Marte","year":"2002","unstructured":"Marte A, Di Meglio D, Cotrufo AM, Di Iorio G, De Pasquale M, Vessella A: A long-term follow-up of autoaugmentation in myelodysplastic children. BJU Int. 2002, 89: 928-931. 10.1046\/j.1464-410X.2002.02781.x.","journal-title":"BJU Int"},{"key":"625_CR6","first-page":"266","volume":"55","author":"T Matsumoto","year":"1995","unstructured":"Matsumoto T, Iguchi H, Akazawa S: A case of congenital hourglass bladder. Nippon Igaku Hoshasen Gakkai Zasshi. 1995, 55: 266-267.","journal-title":"Nippon Igaku Hoshasen Gakkai Zasshi"},{"key":"625_CR7","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/S0022-5347(17)58636-X","volume":"117","author":"VN Bhat","year":"1977","unstructured":"Bhat VN, Vaidyanathan S, Rao MS, Bapna BC, Malik AK: Suprapubic traction diverticulum of the bladder. J Urol Jun. 1977, 117: 802-803.","journal-title":"J Urol Jun"}],"container-title":["Cases Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1757-1626-2-6866.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T20:07:15Z","timestamp":1630613235000},"score":1,"resource":{"primary":{"URL":"https:\/\/casesjournal.biomedcentral.com\/articles\/10.1186\/1757-1626-2-6866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,18]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["625"],"URL":"https:\/\/doi.org\/10.1186\/1757-1626-2-6866","relation":{},"ISSN":["1757-1626"],"issn-type":[{"value":"1757-1626","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,18]]},"assertion":[{"value":"25 March 2009","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2009","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2009","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"6866"}}