Knotted electric wire in urinary bladder: Can such complex foreign body be retrieved endoscopically!

Agarwal, Manav; Aggarwal, Ajay; Pandey, Siddharth; Kumar, Manoj

doi:10.1136/bcr-2018-225353

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Many kinds of corpus alienum reported include electrical wires, wooden sticks, thermometers, bullets, intrauterine contraception devices, and knotted suprapubic catheters. There were reported 31 cases of IUD migration into the bladder until 2006 (1,2). In genereal, patients present with hematuria, pain in the pelvic area, and bladder stone formation.…”

Section: Introductionmentioning

confidence: 99%

Calculus Formation in Bladder from Migrated Intrauterine Devices

Wijaya

Seputra²,

Daryanto³

et al. 2022

JKB

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Migration of the intrauterine device (IUD) into the bladder has been a rare case. There were reported 31 cases of IUD migration into the bladder until 2006. Although IUD migration is asymptomatic, it should be removed to prevent complications such as pelvic abscess, bladder or intestinal rupture, and adhesion. A 52-year-old woman came to the urology clinic with pyuria since the previous 3 months. She had a history of IUD insertion in 1982; and two months later, she got pregnant. Since 2015, she has suffered from dysuria but has never been treated and has worsened in the past 3 months. On physical examination, tenderness was found in the suprapubic region. The results of urinalysis showed pyuria and hematuria. The ultrasonography findings, there were large bladder stones. An abdominal x-ray revealed the presence of a bladder stone with the IUD tail. Vesicolithotomy was performed and the IUD was found attached to an 11x7 cm bladder stone. The patient had a good postoperative condition without any special complications. The IUD in the bladder is a medium for forming secondary bladder stones. Most cases of IUD migration are caused by a lack of evaluation after the installation procedure. This case suggested that the physician should be more careful in carrying out the installation procedure. It is necessary to evaluate the location of the IUD after installation to prevent further patient complications.

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Section: Introductionmentioning

confidence: 99%

Calculus Formation in Bladder from Migrated Intrauterine Devices

Wijaya

Seputra²,

Daryanto³

et al. 2022

JKB

View full text Add to dashboard Cite

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Features of the extraction of foreign bodies from the lower urinary tract

Shanava

Шахиевич²,

Mosoyan

et al. 2021

Urology reports (St. - Petersburg)

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BACKGROUND:Foreign bodies introduced by patients into the bladder and urethra are relatively rare in clinical practice. As a result, there is insufficient information in the scientific literature regarding methods of extracting foreign bodies from the urinary tract. AIM:determination of the optimal methods for extracting foreign bodies from the urethra and bladder. MATERIALS AND METHODS:Foreign bodies of the lower urinary tract were removed in 21 patients: 15 (71.4%) men and 6 (28.6%) women. Foreign bodies were found in the urethra in 7 (33.3%) patients and in the bladder in 14 (66.7%) patients. Removal of foreign bodies from the urethra and bladder was performed endoscopically or during open surgery. RESULTS:Removal of stabbing, cutting and glass objects from the urinary tract in 9 patients was performed during open surgery. Foreign bodies with even smooth edges were removed in 12 patients under urethrocystoscopic control. At the same time, in two patients, coagulated suppositories were first fragmented in the bladder cavity, and then removed in parts. Cystolithotripsy was performed in one patient with a suppository inlaid with calculus before fragmentation. CONCLUSIONS:Foreign bodies with sharp edges or made of glass are safer to be removed from the lower urinary tract during open surgery. Foreign bodies with a smooth and even surface are optimally removed endoscopically. Long and bulky foreign objects that can be fragmented in the bladder cavity are best removed in parts. When foreign bodies are encrusted with large calculi, cystolithotripsy should be performed before their endoscopic extraction.

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Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights

Porav-Hodade,

Gherasim,

Todea-Moga

et al. 2024

Diagnostics

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Background/Objectives: An electric wire inserted into the bladder or urethra presents a specific challenge that is frequently encountered in such cases: the potential formation of a tight knot, making extraction nearly impossible. The primary objective of this study was to share our personal experience with patients who had intravesical electric cable insertions and to provide an extensive literature review, offering detailed insights into the various strategies reported for managing such foreign body cases. Methods: Of the four cases with a foreign body in the lower urinary tract, two involved patients aged 19 and 53, respectively, who had inserted an electric cable. During their attempt at self-removal, they developed an intravesical knot, as confirmed by radiographic imaging. Results: In the first case, a bipolar approach was used: a cystoscope was inserted transurethrally into the bladder alongside the cable, while a laparoscopic trocar was introduced suprapubically. Using laparoscopic scissors, the cable was successfully cut and removed. In the second case, due to the cable’s size, a direct cystotomy was performed. At the 3-month follow-up, the uroflowmetry results were normal for both patients. A psychiatric evaluation revealed no abnormalities in the first patient, while the second patient was diagnosed with polyembolokoilamania. Conclusions: The removal of self-inserted electric cables from the urethra and bladder is a challenging procedure, often requiring the urologist’s creativity to prevent potential complications. Many cases can be resolved endoscopically; however, even this minimally invasive approach must be tailored to each case to provide the most suitable solution for the patient.

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Knotted electric wire in urinary bladder: Can such complex foreign body be retrieved endoscopically!

Cited by 4 publications

References 7 publications

Calculus Formation in Bladder from Migrated Intrauterine Devices

Calculus Formation in Bladder from Migrated Intrauterine Devices

Features of the extraction of foreign bodies from the lower urinary tract

Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights

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