Urethral Foreign Bodies: Clinical Presentation and Management

Palmer, Cristina; Houlihan, Matthew; Psutka, Sarah P.; Ellis, Kimberly; Vidal, Patricia; Hollowell, Courtney M.P.

doi:10.1016/j.urology.2016.05.045

Cited by 51 publications

(125 citation statements)

References 16 publications

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“…FB insertion into the urethra in childhood is uncommon. The clinical presentation of a urethral FB included dysuria, gross haematuria, urinary retention, urinary tract infection and penile discharge . In our study, the primary symptom in the patient with a urethral FB was dysuria.…”

Section: Discussionmentioning

confidence: 60%

Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

Shao

Shen

Hong

et al. 2019

J Paediatrics Child Health

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Aim: Foreign body (FB) injuries represent a severe public health problem during childhood. The aim of this study was to report our experience with patients with injuries due to FB ingestion and insertion who were treated surgically at our institution. Methods: A total of 78 paediatric patients who were hospitalised for FB injuries were retrospectively reviewed. Results: The series was composed of 27 males and 51 females, with a median age of 3.6 years. The cases included 35 cases of FB ingestion and 43 cases of FB insertion, including 40 cases with a vaginal insertion, 2 cases with a rectal insertion and 1 case with a urethra insertion. Intestinal perforation (n = 26) was a more common complication than intestinal obstruction (n = 9) in patients who had ingested a FB. The main clinical symptom was persistent vaginal discharge, followed by vaginal bleeding for patients with a vaginal FB insertion. Exploratory laparotomy was performed on 36 patients, while a laparoscopic approach was employed in 1 patient. Forty patients underwent hysteroscopy and one patient underwent cystotomy to remove the FB. All FBs were successfully removed. Of the 78 FBs recovered, 26 were food objects, while non-food objects were found in 52 patients. All patients recovered well, except one patient with an intestinal obstruction from adhesions that occurred approximately 1 month after discharge. Conclusions: Early recognition of FB injuries and appropriate management can significantly reduce complications. Surgical removal of a FB can be safe and effective, and relatively better outcomes can be achieved.What is already known on this topic 1 Foreign body (FB) injuries represent a severe public health problem during childhood. 2 Some FB injuries have an unclear history and non-specific clinical presentation, resulting in a delay in diagnosis.

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Section: Discussionmentioning

confidence: 60%

Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

Shao

Shen

Hong

et al. 2019

J Paediatrics Child Health

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“…1,2 Autoerotism is one of the most common reasons given for polyembolokoilamania, although others include curiosity, psychiatric illness, iatrogenic causes, and an attempt to relieve urinary symptoms. 3 The prevalence of the condition is unknown and probably underreported owing to embarrassment of patients so a high index of suspicion and targeted history taking play an important role in correctly diagnosing the condition. There are reports suggesting the possible role of psychiatric assessment in revealing an underlying psychiatric disease and preventing repeated occurrences of foreign body insertion.…”

Section: Discussionmentioning

confidence: 99%

“…The presentation of retained foreign body in the lower urinary tract varies widely although dysuria and haematuria are the most common presentation. 3,5 The severity of the condition depends on the nature of the foreign body and, more importantly, time to medical attention. Early diagnosis and removal of the foreign body are of prime importance.…”

Section: Discussionmentioning

confidence: 99%

Per urethral insertion of foreign body for erotism: case reports

et al. 2019

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A 31-year-old man presented in December 2016 with a 1-day history of retained foreign body in the urinary bladder. He reported regular insertion of a commercially available silicone urethral instrument for autoerotism. He customarily evacuated the instrument by voiding but he had failed to do so on this occasion. There was no dysuria, haematuria, abdominal pain or fever. Laboratory parameters were within normal limits and no foreign body could be identified on X-ray. Flexible cystoscopy revealed an 18-cm length of soft tubing inside the urinary bladder (Fig 1a). Successful retrieval was achieved with endoscopic forceps. He was discharged home on the same day.

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“…Urethral foreign bodies are a relatively rare clinical occurrence that can result in genitourinary trauma, infection, and obstruction. 1 Imaging is often warranted if the diagnosis is not readily apparent according to patient history or examination result, and to guide management. Imaging modalities vary according to the location and radiolucency of the objects.…”

Section: Diagnosismentioning

confidence: 99%

“…2 Removal can be accomplished by manual extraction, cystoscopically, or surgically with urethrotomy. 1…”

Section: Diagnosismentioning

confidence: 99%