Beans in the wrong stalk: A case of urethral foreign bodies

Dennis, Margeaux; Brennan, Zachary; Campbell, Sara; Casey, Taylor; Thomas, Seth; Bartley, Jamie

doi:10.1016/j.eucr.2021.101764

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Speci c methods include manual removal, endoscopic treatment, laparoscopic treatment, open surgery, etc. [30][31]. For small anterior urethral foreign bodies with smooth and blunt surfaces, lubricating the urethra with vaseline oil and pushing the foreign body towards the distal urethra with vascular forceps can be attempted.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment strategies for pediatric urogenital tract foreign bodies: A retrospective study

Tao,

Peng,

Mao

et al. 2024

The American Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment strategies for pediatric urogenital tract foreign bodies: A retrospective study

Tao,

Peng,

Mao

et al. 2024

The American Journal of Emergency Medicine

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“…[ 15 , 16 ] Various treatment methods of removal have been described, including voiding, manual compression of the urethra, transurethral and/or percutaneous endoscopic techniques, urethrotomy, Fogarty catheterization, and injection of solvents. [ 5 , 10 , 12 , 16 , 17 ] Most urethral foreign bodies, especially objects in the anterior urethra, can be removed by endoscopic resection. However, for posterior urethral foreign bodies or foreign bodies with a severe inflammatory response, invasive procedures might be required.…”

Section: Discussionmentioning

confidence: 99%

“…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 [15,16] . Various treatment methods of removal have been described, including voiding, manual compression of the urethra, transurethral and/or percutaneous endoscopic techniques, urethrotomy, Fogarty catheterization, and injection of solvents [5,10,12,16,17] . Most urethral foreign bodies, especially objects in the anterior urethra, can be removed by endoscopic resection.…”

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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Diagnosis and Treatment Strategies for Pediatric Urogenital Tract Foreign Bodies: A Retrospective Study

tao,

Peng,

Mao

et al. 2023

Preprint

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Background: Foreign bodies in the pediatric urogenital tract are rare but urgent clinical conditions that can cause severe symptoms and complications. The current management remains challenging. Objective: This study aims to provide an in-depth understanding of the clinical characteristics, diagnostic challenges, and treatment strategies for pediatric urogenital tract foreign bodies. Through a retrospective analysis of patient data, valuable insights into the management of this condition are offered to facilitate the development of more effective management strategies. Methods: A single-center retrospective study design was employed, reviewing clinical data of 30 pediatric patients with urogenital tract foreign bodies admitted to Anhui Children's Hospital from October 2016 to May 2023. This included 16 cases of urethral and bladder foreign bodies and 14 cases of vaginal foreign bodies. Among them, there were 14 males and 16 females, with an average age of 7.4 years. Treatment methods included transvaginal endoscopic removal, cystoscopic removal, pneumovesicum laparoscopy removal, and perineal incisional foreign body removal. Surgical time, blood loss, hospitalization days, and postoperative follow-up results were recorded. Results: Key clinical presentations included vaginal bleeding, abnormal vaginal discharge, hematuria, dysuria, urinary retention, and perineal pain. Preoperative routine examinations included ultrasound, abdominal radiography, and, in some cases, CT scans. All 30 patients underwent successful surgery, with an average surgical time of 39.6±28.3 minutes, minimal intraoperative bleeding, and an average postoperative hospital stay of 2.8±2.2 days. Follow-up from 3 months to 1 year revealed no abnormalities in the urogenital system, no residual foreign bodies, and no occurrence of severe complications. No cases of recurrent foreign body insertion were observed. Conclusion: Early diagnosis and treatment of pediatric urogenital tract foreign bodies are crucial to reduce patient suffering and the risk of complications. The choice of surgical method depends on the type, size, and location of the foreign body, with endoscopy being the preferred option. Laparoscopic cystoscopy and open surgery are also effective treatment modalities. Strengthening supervision and education for children, guiding their curiosity correctly, can help prevent the occurrence of pediatric urogenital tract foreign bodies.

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Beans in the wrong stalk: A case of urethral foreign bodies

Cited by 3 publications

References 4 publications

Diagnosis and treatment strategies for pediatric urogenital tract foreign bodies: A retrospective study

Diagnosis and treatment strategies for pediatric urogenital tract foreign bodies: A retrospective study

Electric wire as a urethral foreign body

Diagnosis and Treatment Strategies for Pediatric Urogenital Tract Foreign Bodies: A Retrospective Study

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