Sonographic localization of a retained urethral foreign body in an elderly patient

Shokoohi, Hamid; Kendrick, Zachary; Sikka, Neal; Boniface, Keith

doi:10.1002/jcu.22515

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…[8][9][10][11] The symptoms of foreign bodies in the urethra vary from person to person, including lower abdominal pain, dysuria, external genitalia pain with or without swelling, hematuria, urinary frequency, urinary retention, urethral lacerations, urinary tract and sexually transmitted infections, dyspareunia, and fever. [8,10,12,13] Without prompt treatment, the urethral foreign body might lead to a rectal abscess, periurethral abscess, urethral fistula, urethral stenosis, calcification of foreign bodies, calculus formation, gangrene, or even squamous cell carcinoma. [12,14] The optimal approach for removing the urethral object depends on the size, location, extent of urinary tract injury, and type of object applied to the urethra.…”

Section: Discussionmentioning

confidence: 99%

Electric wire as a urethral foreign body

2021

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Rationale: Most self-insertion of urethral foreign bodies is the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Ultrasound has been proven to be an effective tool for determining the presence, location, and characteristics of the urethral foreign body. Patient concerns: A 48-year-old man presented with a mass in the urethra for 2 years. Physical examination suggested swelling and ulcer in the scrotum. The white blood cell count was elevated (12.60 × 10 9 /L). Urinalysis showed an increased white cell count (484.60/μL) and urine occult blood (±). Diagnosis: Ultrasound examination of the genitourinary system identified an 8.3 cm linear hyperechoic object and hyperechoic spots in the urethra. Computed tomography revealed an extremely hyperdense lesion in the penis. Intraoperative findings showed electric wire bending and winding surrounded by fibrous tissues with urethral rupture. Interventions: The patient was treated with urethrotomy as the endoscopic treatment failed. and the electric wire was removed successfully. Outcomes: The patient was followed up for 45 days without discomfort. Ultrasound examination of the genitourinary system suggested that the wound was almost healed, but with a small urethral effusion, with a maximum depth of approximately 1.9 mm. Lessons: A foreign body was inserted into the patient's urethra for 2 years without any medical treatment. Urethral perforation was found during surgery. In such cases, ultrasound examination can determine the location, shape, and size of the urethral foreign body and play an important role in the diagnosis of foreign bodies.

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Section: Discussionmentioning

confidence: 99%

Electric wire as a urethral foreign body

2021

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“… 3 This can be achieved at least in part by detailed physical exam, with added information gleaned from ultrasound or plain radiograph for radiopaque objects. 7 This imaging may assist the provider in identifying likely complications or hematomas. Endoscopic retrieval of the retained object under general, or local anesthesia by a urologist, is possible the majority of the time.…”

Section: Management Of Retained Sounding Objectsmentioning

confidence: 99%

Non-Medical Urethral Sounding: A review of literature and rare case of sounding with a live firearm round

Emerson,

Nijhar,

Hays

et al. 2024

Urology Case Reports

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“…Localizing these FBs is often performed using radiographs, although ultrasound is becoming increasingly used. 1,6,8 In many ways, ultrasound may be a preferable modality for imaging as it provides dynamic views and, if the SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York location is superficial enough, can provide high definition images of the FB and surrounding structures. [9][10][11] Imaging plays a vital role in the management of retained urethral FBs by helping to localize the object in relationship to other structures, and to ascertain information on the size, shape, mobility, and susceptibility to various removal techniques.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Using Point-of-care Ultrasound as a Tool to Identify a Urethral Foreign Body

Frier

Nicholas

Klawitter

2021

CPC-EM

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When patients present to the emergency department with retained urethral foreign objects, imaging is crucial for identifying and further describing the object(s). Imaging is also important to plan the management and to assess the potential complications of foreign object removal. Ultrasonography is sometimes used for this purpose and can often provide more information on the object and its location and characteristics than plain radiographs.Case Report: This case report discusses the identification and characterization of a retained urethral foreign object that was not seen on plain radiography. Conclusion:While ultrasonography has its own limitations, in the cases of retained foreign objects, it can provide preferable imaging and can help guide the management of these patients. [Clin Pract

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Sonographic localization of a retained urethral foreign body in an elderly patient

Cited by 3 publications

References 5 publications

Electric wire as a urethral foreign body

Electric wire as a urethral foreign body

Non-Medical Urethral Sounding: A review of literature and rare case of sounding with a live firearm round

Case Report: Using Point-of-care Ultrasound as a Tool to Identify a Urethral Foreign Body

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