Endoscopic removal of intravesical thermometer using a rigid nephroscope and forceps

Nishiyama, Kenryu; Shimada, Takehiko; Yagi, Shusuke; Kawahara, Motoshi; Nakagawa, Masayuki

doi:10.1046/j.1442-2042.2002.00545.x

Cited by 14 publications

(10 citation statements)

References 4 publications

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“…In such cases, the patient often presents late due to feeling embarrassed or humiliated [15,18]. Other cases of self-insertion may be associated with psychiatric disorders such as schizoid personality disorder or borderline personality disorder, intoxication, mental confusion, or sexual curiosity [1,5-21]. Some individuals may insert foreign bodies in order to relieve urinary retention or itching in the urethra [12].…”

Section: Discussionmentioning

confidence: 99%

Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience From North India

et al. 2016

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PurposeThis study was performed to characterise the nature, clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.MethodsBetween January 2008 and December 2014, 49 patients were treated for intravesical foreign bodies at King George Medical University, Lucknow. All records of these patients were retrospectively analysed to characterise the nature of the foreign body, each patient’s clinical presentation, the mode of insertion, and how the case was managed.ResultsA total of 49 foreign bodies were retrieved from patients’ urinary bladders during the study period. The patients ranged in age from 11 to 68 years. Thirty-three patients presented with complaints of haematuria (67.3%), 29 complained of frequency of urination and dysuria (59.1%), and 5 patients reported pelvic pain (10.2%). The circumstances of insertion were iatrogenic in 20 cases (40.8%), self-insertion in 17 cases (34.6%), sexual abuse in 4 cases (8.1%), migration from another organ in 4 cases (8.1%), and assault in 4 cases (8.1%). Of the foreign bodies, 33 (67.3%) were retrieved by cystoscopy, while transurethral cystolitholapaxy was required in 10 patients (20.4%), percutaneous suprapubic cystolitholapaxy was performed in 4 patients (8.1%), and holmium laser lithotripsy was performed in 2 patients (4.08%).ConclusionsForeign bodies should always be included in the differential diagnosis when evaluating a patient who presents with chronic lower urinary tract symptoms. A large percentage of foreign bodies can be retrieved using endoscopic techniques. Open surgical removal may be performed in cases where endoscopic techniques are unsuitable or have failed.

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Section: Discussionmentioning

confidence: 99%

Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience From North India

et al. 2016

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“…This approach may allow their en mass removal or at times fragmentation of these objects prior to their removal in small pieces. Use of nephroscope sheaths, pnuemovesicoscopy and even holmium laser has been reported as an effective armamentarium in endoscopic management of these foreign bodies (5, 6). We were able to remove only one of these foreign bodies by endoscopic approach whereas rest of the cases required open surgery.…”

Section: Discussionmentioning

confidence: 99%

Foreign Bodies in Lower Urinary Tract: Case Report and Review of Literature

Pandey¹,

Goel²,

Pal³

et al. 2013

Iran Red Crescent Med J

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Foreign bodies in lower urinary tract may present in a different number of ways. We report four cases of such unusual presentation. Physical examination and plain radiograph was sufficient enough to confirm our diagnosis in all cases. The cases belonged to different age groups and three out of four cases were managed by open surgical approach. One foreign body was removed using cystoscope. Prompt surgical management prevented urinary tract infections and long term complications in these patients.

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“…14 In addition to bladder calculi, the nephroscope has also been used in the retrieval of self-placed intravesical foreign bodies, including a thermometer 16 and screws. 17 One limitation of complete transurethral endoscopic management of an intravesical bullet is the inability to inspect for simultaneous ureteral injury, which is diagnosed in up to 9% of cases during open surgical exploration for cystorrhaphy.…”

Section: Discussionmentioning

confidence: 99%

Complete endoscopic management of a retained bullet in the bladder

Friedman

Trinh

Kaul

et al. 2013

CUAJ

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E143Cite as: Can Urol Assoc J 2013;7:E143-E145. http://dx.doi.org/10.5489/cuaj.258 AbstractA 25-year-old male gunshot victim presented at our institution with gross hematuria following Foley catheter insertion. Computed tomography and cystogram did not show a bladder perforation, but were notable for a left ischial fracture and the presence of a bullet within the bladder. After failed attempts at retrieving the bullet with a resectoscope and loop, as well as a cystoscope and stone crusher, a 26 French nephroscope was inserted transurethrally, and the bullet was successfully engaged and removed using a Perc NCircle (Cook Medical, Bloomington, IN) grasper. The extraperitoneal injury was managed conservatively with catheter drainage. To our knowledge, this represents the first case of successful transurethral management of a retained intravesical bullet. Such an approach may benefit patients with retained intravesical bullets or other challenging intravesical foreign bodies and may be helpful in select circumstances to spare patients from more extensive surgeries.

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Endoscopic removal of intravesical thermometer using a rigid nephroscope and forceps

Cited by 14 publications

References 4 publications

Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience From North India

Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience From North India

Foreign Bodies in Lower Urinary Tract: Case Report and Review of Literature

Complete endoscopic management of a retained bullet in the bladder

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