Unusual Foreign Bodies in the Urethra and Bladder

Osca, J M; Broseta, Enrique; Server, G; Ruiz, J.; Gállego, José Antonio Gutiérrez; Jiménez-Cruz, J.F.

doi:10.1111/j.1464-410x.1991.tb15395.x

Cited by 45 publications

(42 citation statements)

References 8 publications

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“…Documented objects described in urinary bladders have included batteries, wires, hair pins and screws. [1][2][3][4] A singular approach for all intravesical objects is inappropriate. Moon and colleagues found that the exact strategy for foreign body removal from the bladder is dictated by the size, location and mobility of the object.…”

Section: Discussionmentioning

confidence: 99%

Open removal as a first-line treatment of magnetic intravesical foreign bodies

Levine

Evans

2013

CUAJ

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Intravesical foreign bodies are an uncommon, but significant, cause of urologic consultation. We present 3 patients who all inserted magnetic beads per urethra into the urinary bladder, which subsequently became retained. Endoscopic attempts were unsuccessfully tried in the first 2 cases, necessitating open cystotomy to remove the beads. The third went straight to open removal. Given the failure of minimally invasive techniques, we believe that open removal should be the first-line treatment for these types of foreign bodies.

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Section: Discussionmentioning

confidence: 99%

Open removal as a first-line treatment of magnetic intravesical foreign bodies

Levine

Evans

2013

CUAJ

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“…A low density linear object (red arrow) was seen lying obliquely in the pelvis and appeared to be aligned with the smaller foreign body hairpin, matchsticks, pen, fruit kerels, fish hooks, drinking straw, nails, rifle bullet, chew gum, snake, razor blade, wrist watch, etc [4,5]. Aetiology of foreign body in the bladder may be classified as insertion of foreign body by the person him/her self, iatrogenic (penetration during surgery of urinary tract, uterus, vagina and abdomen) or migration from adjacent organs (intrauterine devices).…”

Section: Discussionmentioning

confidence: 99%

“…In some cases the foreign body was inserted to urethra to prevent conception [5]. The duration of symptoms before diagnosis ranged from weeks to few months and the interval between insertion and removal of foreign body ranged from month to few years [4]. Complication of foreign body in lower urinary tract includes infection, abscess, extravasation, diverticuli, perforation, fistula formation and stone formation however serious life threatening complications are uncommon.…”

Section: Discussionmentioning

confidence: 99%

Acute Pelvic Pain: A Ball Pen May Be a Cause?

Singh

Roshan

Sarawagi

et al. 2014

JCDR

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An 18-year-old young unmarried female presented with the complaints of severe lower abdominal pain, dysuria and mild fever. On physical examination patient was febrile and restless with mild suprapubic tenderness. No other findings were detected per abdominal examination.Plain radiograph of abdomen was performed which showed two metallic density foreign bodies in the pelvic region, of which one was smaller & pointed and other was larger and tubular. A low density linear object was seen lying obliquely in the pelvis and appeared to be aligned with the smaller foreign body [Table/ Fig-1]. Transabdominal sonography was performed which revealed a 6.3cm long tubular object in the bladder lumen which was lying obliquely. The tip of the object was hyperechoic and appeared impacted in the right lateral bladder wall. Remaining part of the object was isoechoic with smooth margins. Another hyperechoic object was noted in dependent portion of bladder lumen on left side with posterior acoustic shadowing . Innumerable low level floating echoes were noted in distended urinary bladder with thickened and irregular posterior wall. Plain CT scan of lower abdomen [Table/Fig3a&b] showed a long tubular low density structure lying obliquely in the bladder lumen with high density pointed tip. The shape of the structure resembled a ball point pen. Other high density tubular foreign body was noted at dependent part resembling the cap of pen. Pointed tip had invaded the right posterolateral wall of bladder with subsequent focal thickening. Cystoscopic removal of foreign body has been performed and a ball pen and its cap have been taken out without any surgical or post surgical complication. DisCussionForeign body in urinary tract is not uncommon however data regarding exact incidence of occurrence in India or worldwide is not available. Only single case reports or case series are available in medline search. Rafique M in Urol J reported 17 cases of intravesical foreign body over five years [1].Self inflicted foreign bodies in urinary bladder rarely present directly; rather they present with lower urinary tract symptoms like dysuria, lower abdominal pain with or without fever. One major difficulty in the early diagnosis is due to patients who choose to ignore the insertion of foreign body because of embarrassment [2]. There is aBstRaCt Chronic Urinary tract infection (UTI) is a common problem in women and can be seen without any significant anatomical and functional pathology. Foreign bodies within the urinary bladder are not rare and should be considered as a cause of chronic and recurrent UTI. Intravesical foreign bodies can be self inflicted, iatrogenic or migration from adjacent organs. History in these cases is often misleading and presentation of foreign body mostly becomes apparent as suprapubic pain, dysuria with or without hematuria. We present a case of selfinflicted foreign body within the bladder of a young female who presented with recurrent urinary tract infections for six months that did not respond to medical treatment.ke...

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“…Most cases are associated with sexual stimulation, debilitation and psychiatric disorders. Self-insertion is more common in males than in females [1]. In some cases, the foreign body was inserted into the urethra to prevent conception [2].…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]. Some of these foreign bodies are particularly extraordinary and bizarre including a rifle bullet, squirrel tail, chewing gum, snake, razor blade handle, wrist watch, crystal rod, and light-bulb [2,[5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

Sonographic Detection of a Foreign Body in the Urethra and Urinary Bladder

Barzilai

Cohen²,

Stein³

2000

Urol Int

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Reported herein is a 41-year-old male who presented for ultrasound due to two episodes of lower urinary tract infections within a period of 5 months. The sonographic examination revealed an elongated foreign body in the urethra extending into the urinary bladder. Self-insertion of foreign bodies into the urethra is usually done for erotic stimulation. However, foreign bodies can be inserted by children due to curiosity and by mentally retarded people, patients with psychiatric disorders as well as by intoxicated patients and in confusional states. Due to embarrassment, the patients seek medical help only when they are symptomatic and hence some of the foreign bodies are removed only several months after insertion. Detection might be either by plain abdominal films when the foreign bodies are radiopaque or by the use of contrast media. In the case presented by us, this was done by sonography. Endoscopic removal of these foreign bodies is considered the treatment of choice. Recurrent or chronic unexplained urinary tract infections should raise a high index of suspicion to the possible existence of a foreign body in the urethra and/or urinary bladder.

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Unusual Foreign Bodies in the Urethra and Bladder

Cited by 45 publications

References 8 publications

Open removal as a first-line treatment of magnetic intravesical foreign bodies

Open removal as a first-line treatment of magnetic intravesical foreign bodies

Acute Pelvic Pain: A Ball Pen May Be a Cause?

Sonographic Detection of a Foreign Body in the Urethra and Urinary Bladder

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