Intravesical wire as foreign body in urinary bladder

Pal, Dilip Kumar; Bag, Asim K.

doi:10.1590/s1677-55382005000500010

Cited by 30 publications

(22 citation statements)

References 2 publications

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“…Open suprapubic cystotomy was done by the authors in this case because of the large size of the foreign body. Rafique7 had the opinion that while the endoscopic removal of long wire may be possible in some cases,8 open surgery is mostly required to reduce urethral trauma.…”

Section: Discussionmentioning

confidence: 99%

Self-inflicted long complex urethro-vesical foreign body: is open surgery always needed?

2013

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SUMMARYIn this case report, we describe our experience of a self-inflicted long complex urethrovesical foreign body managed suprapubically through the minimally invasive technique. A 21-year-old man with antipsychotic treatment for the past 10 years presented with a long electric cable wire in his bladder with the distal end in the penile urethra. He presented with symptoms of voiding difficulty and gross haematuria. An attempt of gentle retrieval of wire through the cystoscopic forceps was not successful due to a very complex knot of cable in the bladder. To avoid open surgery such as suprapubic cystotomy, the percutaneous minimally invasive approach was planned. Access to the bladder was achieved by the suprapubic puncture of the bladder, placement of a guide-wire and serial dilation of suprapubic tract. With the help of nephroscope, through suprapubic tract, the cable wire was retrieved antegradely without causing undue trauma to the bladder or urethra. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Self-inflicted long complex urethro-vesical foreign body: is open surgery always needed?

2013

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“…Most of the cases of self-insertion of foreign bodies are associated with psychiatric disorders, autoerotic stimulation, or desire to get relief from urinary symptoms (6). Patients generally present with symptoms indicating urinary tract infections.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnostic investigations vary from case to case and may include the kidney, ureter, and bladder; abdominal ultrasound; urography; computed tomography (CT) scan; or cystoscopy. X-ray studies are sufficient to diagnose such conditions (6). An X-ray study of the abdomen is a helpful diagnostic study in foreign body cases, but further imaging such as a CT scan or an intravenous pyelogram is rarely required.…”

Section: Discussionmentioning

confidence: 99%

“…An X-ray study of the abdomen is a helpful diagnostic study in foreign body cases, but further imaging such as a CT scan or an intravenous pyelogram is rarely required. In cases of non-radiopaque objects, cystoscopy is the diagnostic choice and it also serves as definitive treatment (6,7). A foreign body often can be removed safely without causing additional trauma; however, in cases when endoscopic removal of a foreign object fails, open surgery should be the procedure for treatment (8).…”

Section: Discussionmentioning

confidence: 99%

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Acute Abdomen Due to a Foreign Body in the Urinary Bladder in an Adolescent

Doğanay

Metin²,

Doğanay

2011

The Journal of Emergency Medicine

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“…There are numerous such cases reported, including a recent article by Pal and Bag with 2 patients found to have coiled wire in their bladders which had been placed during autoerotic and erotic stimulation [8] . Another recent case report describes a patient who inserted a florescent bracelet into his penis during a sex party which led to an arteriovenous fistula requiring emergent operative treatment [9] .…”

Section: Discussionmentioning

confidence: 99%

Review of Intentionally Self-Inflicted, Accidental and Iatrogetic Foreign Objects in the Genitourinary Tract

Rieder

Brusky²,

Tran³

et al. 2010

Urol Int

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Purpose: Retrospective evaluation of a series of patients presenting with genitourinary foreign objects. Patients and Methods: From 1997 to 2007, 11 men and 2 women were treated for a variety of foreign objects in the genitourinary tract. Medical records were reviewed for presentation, diagnosis, mental status, drug dependency, treatment, and follow-up. Results: 13 patients were seen for removal of the foreign objects or for treatment of the sequela. These objects were intentionally self-inflicted, accidentally introduced or iatrogenic in nature. Intentional objects included: safety pins, screwdriver, marbles, pen cap, pencils, straw, cocaine, stiff metal wire and part of a pizza mixer. Accidental objects included: magnets, female catheter, urinary incontinence devices and part of a Foley catheter. The iatrogenic object was a reservoir from an inflatable penile implant. Smaller noninjurious objects were retrieved cystoscopically or at the bedside; larger objects or objects associated with trauma to the urethra needed open and reconstructive operations. Conclusions: Generally thought to be self-inflicted for personal gratification, the source of genitourinary objects can also be accidental or iatrogenic. The most traumatic injuries are purposely self-inflicted and found in patients who remove the objects themselves. These patients are at higher risk of permanent urethral damage needing complex surgical treatment and follow-up.

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Intravesical wire as foreign body in urinary bladder

Cited by 30 publications

References 2 publications

Self-inflicted long complex urethro-vesical foreign body: is open surgery always needed?

Self-inflicted long complex urethro-vesical foreign body: is open surgery always needed?

Acute Abdomen Due to a Foreign Body in the Urinary Bladder in an Adolescent

Review of Intentionally Self-Inflicted, Accidental and Iatrogetic Foreign Objects in the Genitourinary Tract

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