Percutaneous Transvesical Retrieval of Foreign Bodies Penetrating the Urethra

Johnin, Kazuyoshi; Kushima, Mayumi; Koizumi, Shuichi; Okada, Yusaku

doi:10.1097/00005392-199903000-00048

Cited by 9 publications

(14 citation statements)

References 3 publications

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“…With careful history taking and physical examination, physicians can get information about the type of foreign body and duration of insertion. To determinethe exact size, number, and location, radiologic evaluation is necessary [1]. In most cases, pelvic radiographic imaging is sufficient to locate and identify foreign bodies.…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, however, the foreign body causes severe pain, hematuria, and urinary tract infection [3]. Procedures to remove such foreign bodies completely should be as simple as possible and result in minimal damage to the bladder and urethra [1]. Herein, we present two cases of self-inserted foreign bodies in the lower urinary tract with a brief review of the literature.…”

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confidence: 99%

“…Foreign bodies have been inserted as the result of curiosity, autoerotic stimulation, or medical procedures [1]. The material of the foreign bodies has varied from wire, screw, or ball point pen to animals such as a snake [2].…”

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confidence: 99%

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Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

et al. 2010

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Most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Diagnosis of these foreign bodies can be done by clinical history, physical examination, and image studies of the patient. The treatment of foreign bodies is determined by their size, location, shape, and mobility. In most cases, minimally invasive procedures such as endoscopic removal are recommended to prevent bladder and urethral injuries. In some cases, however, surgical treatment should be done if the foreign bodies cannot be removed by the endoscopic procedure or further injuries are expected as a result of the endoscopic procedures. Herein we present 2 cases of self-inserted lower genitourinary foreign bodies with a brief review of the literature. Int Neurourol J 2010;14:186-9.

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Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

et al. 2010

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“…But several cases have been reported and possible causes are as a result of curiosity, autoerotic stimulation, psychosexual disorder, drug intoxication and various medical procedures. 1 The inserted foreign bodies varied from very smooth and slippery substances to even rough and sharp objects like wire, screw, snake, mobile charging pin, head phone jack etc. 2 Patients with self-introduced foreign body seek medical attention quickly after failure of retrieval.…”

Section: Introductionmentioning

confidence: 99%

Unusual Foreign Bodies in the Lower Genitourinary Tract

Habibullah¹,

Rahman²

2018

J Enam Med Col

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“…They are generally inserted by the patient via the urethra for purposes of erotic stimulation, curiosity, or psychiatric illness; alternatively, the source may be iatrogenic, such as retained or migrating medical devices (5,9). Infrequently, trauma may also introduce foreign bodies, such as bullets, into the bladder (6,8).…”

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An Unusual Foreign Body in the Urinary Bladder Mimicking a Parasitic Worm

et al. 2012

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We report an unusual case of a foreign body removed from the urinary bladder of a 63-year-old male which mimicked a parasitic worm. The foreign body was identified as an artificial fishing worm by morphological comparison to a similar commercially produced product and by infrared spectrum analysis. CASE REPORTA 63-year-old male presented to his urologist with complaints of sudden-onset urinary urgency, pelvic pain, and dysuria with decreased force of his urinary stream. He had had four suspected urinary tract infections in the past 12 months. Prior urine cultures had grown Escherichia coli, and his symptoms had improved following treatment with antibiotics. A physical examination, including genital and prostate examinations, revealed no abnormalities. A urine test strip was positive for blood, leukocytes, trace protein, and nitrite. An ultrasound postvoid residual procedure performed in the office demonstrated minimal residual urine but revealed calcifications within the bladder. His urine was sent for culture, and he was prescribed sulfamethoxazole and trimethoprim double strength and scheduled for an outpatient cystoscopy.At cystoscopy, a large calculus which filled the entire bladder was visualized. A computed tomography (CT) scan of the pelvis was performed to further characterize the calculus (Fig. 1). The CT scan demonstrated a large spiral-shaped tubular calcific structure, measuring up to 7.0 by 5.2 cm in overall dimensions, within the urinary bladder. Mild thickening of the bladder wall and a streak artifact due to left hip arthroplasty were noted.An open cystolithotomy was performed, and the extracted bladder calculus was submitted to the Metals Laboratory at the Mayo Clinic in Rochester, MN, for bladder stone analysis. Analysis of the 8.7 g of crystals removed from the specimen demonstrated a composition of 90% ammonium urate and 10% uric acid. During processing, the core of the calculus was noted to consist of two soft, gelatinous tubular structures resembling a worm. Therefore, the specimen was transferred to the Parasitology Laboratory at the Mayo Clinic in Rochester, MN, for further identification. Upon receipt, the specimen was noted to be yellow-green to black and cylindrical and to have annular circumferential ridges. It had previously been bisected; the reconstructed object measured approximately 16 cm in total length by 1.3 cm in greatest width.On cut sectioning, the specimen revealed a gelatinous cut surface from which a minute amount of clear fluid could be expressed. Microscopic examination of touch preparations obtained from the cut surface and the expressed fluid revealed occasional sloughed urothelial cells and numerous polymorphic bacteria and yeasts. No helminth eggs were detected.On longitudinal sectioning, there was an apparent absence of grossly discernible internal structures. This finding, in addition to the lack of expressed eggs and the uniform-appearing gelatinous cut surface, raised suspicion that the specimen was a nonorganic foreign body. Fortuitously present in the labora...

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Percutaneous Transvesical Retrieval of Foreign Bodies Penetrating the Urethra

Cited by 9 publications

References 3 publications

Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

Unusual Foreign Bodies in the Urinary Bladder and Urethra Due to Autoerotism

Unusual Foreign Bodies in the Lower Genitourinary Tract

An Unusual Foreign Body in the Urinary Bladder Mimicking a Parasitic Worm

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