Manzo-Pérez Braulio O, Guerrero-Nuño J, Manzo-Pérez G, Valladares-Coto BA

Language: Spanish
References: 22
Page: 356-359
PDF size: 894.01 Kb.

ABSTRACT

The diversity of objects that can be found in the genitourinary system surpasses the urologist’s imagination, often making the diagnosis and treatment of such foreign bodies a challenge. The case presented here is a forty-three-yearold man with past medical history of schizophrenia and the practice of introducing foreign objects into the urethra from the age of three. He came to the emergency room presenting with suprapubic pain, dysuria, and penile pain. Three sharp and pointed metal objects were identified inside the bladder and urethra. They were extracted by means of endoscopy combined with cystostomy.
The insertion of objects into the lower genitourinary system is associated with patients presenting with mental illness and sexual stimulation. The ideal technique for extraction depends on the location, size, material, and mobility of the object, as well as on the available medical equipment and experience of the urologist. The least invasive approach possible is recommended.

REFERENCES

1. Rahman NU, Elliot SP, Mcaninch JW. Self- Inflicted Male Urethral Foreign Body Insertion: Endoscopic Management and Complications. BJU Int 2004;94:1051-3.

2. Alibadi H, Hass AS, Gleich P, Johnson CF. Self- Inflicted Foreign Bodies Involving the Lower Urinary Tract and Male Genitalia. Urology 1985;26:12-6.

3. Osca JM, Broseta E, Server G, et al. Unusual Foreign Bodies in the Urethra and Bladder. Br J Urol 1991;68:510-2.

4. Schnall RI, Baer HM, Seidmon EJ. Endoscopy for Removal of Unusual Foreign Bodies in the Urethra and Bladder. Urology 1989;34:33-5.

5. Van Ophoven A, DeKernion JB. Clinical management of foreign bodies of the genitourinary tract. J Urol 2000;164:274-87.

6. Bozeman WP, Mesri J. Acute Urinary Retention from Urethral Migration of a Retained Bullet. J Trauma 2002;53:790-2.

7. Kollias G, Kyriakopoulos M. Urologic Complications from a Gunshot Wound and the Rare Course of a Bullet in the Human Body. Scand J Urol Nephrol 1997;31:397-9.

8. Rodríguez-Esqueda M, Montes-González JA, Castro-Marín M, et al. Objetos extraños en vejiga. Rev Mex Urol 2009;69:286-88.

9. Shiver SA, Reynolds BZ. Urethral obstruction due to the passage of a retained projectile into the genitourinary system. Am J Emerg Med 2008;26:842.e1-2.

10. Walsh P, Moustafa M. Retention of urethrovesical foreign bodies: Case report and literature review. J Emerg Med 2000;19:241-3.

11. Benz MR, Stehr M, Kammer B, et al. Foreign body in the bladder mimicking nephritis. Pediatr Nephrol 2007;22:467-70.

12. Gonzalgo MG, Chan DY. Endoscopic basket extraction of a urethral foreign body. Urology 2003;62:352.

13. Poppas DP, Gillis LA, Retik AB. Balloon-wire retrieval of a migrated urethral stent in the early postoperative period. Urology 1996;47:915-7.

14. Poulton TL, Wessells H. Delayed Presentation of an intravesical foreign body 6 years after impalement injury. J Urol 2003;169:1792.

15. Bird ET, Huckabay Ch, Waxman JA. Endoscopic Evangelism: Unique presentation and management of perforating urethral foreign body. Urology 2004;64:1229-30.

16. O’connor KKM, Murphy G, Rogers E, Brady AP. Urology 2006;68:877-9.

17. Georgius P. A novel method to remove an unusual intra-vesical foreign body (Blu-Tack®). BJU Int 2000;86:749-50.

18. Hutton KAR, Huddart SN. Percutaneous retrieval of an intravesical foreign body using direct transurethral visualization: a technique applicable to small children. BJU Int 1999;83:337-8.

19. Bukowski TP, Williams CR. Percutaneous intravesical retrieval of a misplaced urethral stent: New laparoscopic instrumentation. J Urol 1997;157:2257.

20. Sawyer MD, Proano JM, Spirnak JP. Removal of retained Foley catheter in bladder with novel use of ureteral catheter: Lasso technique. Urology 2008;71:962-3.

21. Delair SM, Bernal RM, Keegan KA, Ellison LM. Ship in a Bottle: Rapid extraction of large intravesical foreign bodies. Urology 2006;67:612-3.

22. Ingber MS, Stein RJ, Rackley RR, et al. Single-port transvesical excision of foreign body in the bladder. Urology 2009;74:1347-50.