Foreign bodies in children's lower urinary tract: A case series and literature review

Kuang, Tongshuai; Cai, Wei; Qian, Weite; Lin, Xiaokun

doi:10.3389/fped.2022.1095993

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…Among pediatric cases, selfintroduction of FBs may indicate underlying psychiatric illnesses, accidental insertions, sexual stimulation, or mere curiosity. A wide variety of self-inserted FBs include needles, magnetic beads, metallic pins, hair clips, pencils, electric wire, and more (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic extraction of a urethral self-inflicted needle from pelvis in a boy: a case report

Wang

Liu

et al. 2023

Front. Pediatr.

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IntroductionSelf-insertion of foreign bodies in the urethra is an infrequent occurrence in children, and their management aims to minimize urethral morbidity. Endoscopic removal presents a significant challenge, particularly in boys. Currently, there are few reports on laparoscopic management of urethral foreign bodies that have migrated to the pelvic cavity.Case descriptionAn 11-year-old boy presented to the emergency department with complaints of increased frequency of micturition and dysuria. A sharp sewing needle was discovered lodged in the posterior urethra mucosa during cystoscopy. Attempts to remove the needle using an endoscopic grasping forceps were unsuccessful due to the forceps' weak biting power. During a digital rectal examination, the needle migrated into the pelvic region, wedged between the prostatic urethra and the rectal ampulla. After careful inspection of the peritoneal reflection over the fundus of the bladder, the needle was identified and successfully removed through laparoscopy without any complications. Psychiatric counseling was advised for this patient, who was in good condition during an 8-week follow-up.ConclusionsOur case demonstrates the first recorded use of laparoscopy to remove a self-inserted urethral needle that had migrated into the pelvic region, after failed attempts at endoscopic extraction. Future cases may benefit from considering laparoscopic interventions for similar circumstances.

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Section: Discussionmentioning

confidence: 99%

“…Urethral self-insertion of foreign bodies (FBs) in children are occasionally reported (1)(2)(3)(4)(5)(6). The goal of management is to remove FBs with minimal or no urethral morbidity.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic extraction of a urethral self-inflicted needle from pelvis in a boy: a case report

Wang

Liu

et al. 2023

Front. Pediatr.

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“…U većini slučajeva strana tela u mokraćnoj bešici se javljaju kod psihopatoloških, maloumnih ili alkoholisanih osoba [3][4][5][6]. Mala deca, u bezazlenoj igri, često uvlače razne predmete u prirodne otvore.…”

Section: Diskusijaunclassified

“…Opisani su slučajevi migracije projektila iz trbuha u mokraćnu bešiku [3][4][5][6]. U simptomatologiji dominiraju uporne, recidivne i na antibiotsku terapiju refraktorne cistične tegobe.…”

Section: Diskusijaunclassified

Foreign bodies in the urinary bladder: Case report

Žikić,

Jelenković,

Adamović

et al. 2023

Timočki medicinski glasnik

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INTRODUCTION Pathological substances produced by the body and entering the urinary bladder cannot be considered foreign bodies. They are more common in women than in men, with a ratio of 100:1 according to some statistics (Sonntag). They can be of animal, plant, or mineral origin. Medical foreign bodies remain after certain surgical interventions, either in the bladder itself or on surrounding organs, due to negligence, carelessness, incorrect use, or poor quality of materials. CASE REPORT Patient C.R. from the vicinity of Donji Milanovac, aged 30, presented to our clinic complaining of frequent urination, burning sensation during urination, and occasional sudden cessation of urination. Anamnestic data were very scarce, except for the mentioned symptoms. Urine sediment showed a significant number of pale red blood cells and rare bacteria. Urine culture yielded sterile cultures. Descending cystography revealed an ellipsoid contrast defect. Subsequent urethrocystoscopy showed a urethra easily passable for a Ch 20 cystoscope sheath, with a short prostatic urethra of about 2 cm. CONCLUSION Operative findings revealed: A round dark-brown formation, the size of a pigeon's egg, was observed in the bladder lumen. A "stone" was extracted from the bladder lumen with stone forceps and placed in a kidney basin. After completing the operation, the image showed a foreign body. Three snake-like objects, twisted, with a length of about 10 cm and a thickness of about 10 mm, were found in the kidney basin. They were candles.

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Successful endoscopic management of an unusual bladder foreign body using a novel technique

Roy,

Fouad,

Keanie

et al. 2024

J Ped Endosc Surg

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Foreign bodies in children's lower urinary tract: A case series and literature review

Cited by 6 publications

References 22 publications

Laparoscopic extraction of a urethral self-inflicted needle from pelvis in a boy: a case report

Laparoscopic extraction of a urethral self-inflicted needle from pelvis in a boy: a case report

Foreign bodies in the urinary bladder: Case report

Successful endoscopic management of an unusual bladder foreign body using a novel technique

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