Acute Urinary Retention due to Urethral Foreign Bodies

Seong, Byung Ju; Kim, Seong-Ju; Kim, Han Seok; Kim, Du Yong; Chung, Jong Shik; Choi, Sung‐Woon

doi:10.5213/jkcs.2006.10.1.60

Cited by 5 publications

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“…In some cases, however, open procedures such as perineal urethrotomy or suprapubic cystostomy without removing the foreign body or dissolution according to the nature of the foreign body are recommended [1,2,6,7].…”

Section: Discussionmentioning

confidence: 99%

Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

et al. 2010

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Most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Diagnosis of these foreign bodies can be done by clinical history, physical examination, and image studies of the patient. The treatment of foreign bodies is determined by their size, location, shape, and mobility. In most cases, minimally invasive procedures such as endoscopic removal are recommended to prevent bladder and urethral injuries. In some cases, however, surgical treatment should be done if the foreign bodies cannot be removed by the endoscopic procedure or further injuries are expected as a result of the endoscopic procedures. Herein we present 2 cases of self-inserted lower genitourinary foreign bodies with a brief review of the literature. Int Neurourol J 2010;14:186-9.

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Section: Discussionmentioning

confidence: 99%

Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

et al. 2010

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“…23 Open surgery is indicated in sharp or large sized FB or after failed endoscopy. 24,25 Psychiatric evaluation is recommended in patients with self-inflicted foreign body in the urethra or urinary bladder due to high incidence of psychiatric disease, mental retardation, and dementia. Doing so may reduce the risk of recurrence.…”

Section: Resultsmentioning

confidence: 99%

Foreign body in urinary bladder: our experience and review of literature

et al. 2019

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Background: The objective of the study was to study clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.Methods: This was a retrospective study conducted between January 2018 to June 2019. Six patients underwent treatment for urinary bladder foreign body at Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India. Medical records were analyzed retrospectively with regard to nature of foreign body, each patient’s clinical presentation, the mode of insertion and how the foreign was managed.Results: A total of six foreign bodies were retrieved from patients’ urinary bladders. The patients range in age from 28 to 65 years (mean age was 45 years). The Clinical presentation includes Lower urinary tract symptoms. Four patients were male and two were female. Circumstance of insertion was iatrogenic in 5 patients and self-insertion in 1 patient. Five patients were treated endoscopically (cystoscopy retrieval with or without cystolithotrity) and one patient with supra pubic cystostomy. Post-operative hospital stay was of 1 to 2 days. Mean follow up period was 3 months. Psychiatric referral and counseling were done in patients with history of self-insertion of foreign body in urinary bladder.Conclusions: Foreign body in the urinary bladder remain a challenge to the urologist. Removal of the foreign body without injury to the urinary bladder or the urethra gives good outcome.

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“…Where a stone has formed, it should be broken by litholopaxy or intracorporeal lithotripsy together with the removal of the foreign body. In some cases, however, open procedures such as perineal urethrotomy or suprapubic cystostomy without removing the foreign body or dissolution according to the nature of the foreign body are recommended [11,15,16,17].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Self-Inflicted Foreign Body in the Urinary Bladder and Urethra: A Case Report

Rahman

Bari

Khatoon³

2020

Bang J Urology

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Introduction: Most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Diagnosis of these foreign bodies can be done by clinical history, physical examination, and image studies of the patient. The treatment of foreign bodies is determined by their size, location, shape, and mobility. In most cases, minimally invasive procedures such as endoscopic removal are recommended to prevent bladder and urethral injuries. In some cases, however, surgical treatment should be done if the foreign bodies cannot be removed by the endoscopic procedure or further injuries are expected as a result of the endoscopic procedures. Case Presentation: Herein we present a case of self-inserted lower genitourinary foreign body. A 60 years old man presented with complaints of dysuria, dribbling, haematuria and suprapubic pain for 3 weeks. An X-ray of the pelvis showed a coiled up radio opaque shadow of telephone wire in the bladder region extending downwards which was removed by suprapubic cystostomy. Discussions: Bladder foreign body is not common. Plain radiograph is sufficient to diagnose and minimally invasive procedure is usually successful. In this case retrieval by cystostomy was done to avoid the risk of bladder and urethral injury. Conclusion: Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimize bladder and urethral trauma. The possibility of an intravesical foreign body should be considered in any patient with chronic unexplained lower urinary tract symptoms. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.94-97

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Acute Urinary Retention due to Urethral Foreign Bodies

Cited by 5 publications

References 0 publications

Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

Foreign body in urinary bladder: our experience and review of literature

An Unusual Self-Inflicted Foreign Body in the Urinary Bladder and Urethra: A Case Report

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