Foreign Body In Bladder Research Articles

Rare foreign body in bladder

Rationale:The bladder is the most common site of foreign bodies in the urinary tract. Presenting complaints in patients with a foreign body are urinary retention, dysuria, frequent urination, decreased urine volume, nocturia, hematuria, painful erection, as well as pain in the urethra and pelvis.Patient concerns:A 50-year-old married male presented with complaints of severe lower abdominal pain and dysuria.Diagnoses:A plain radiograph of the pelvis showed a metallic dense foreign body that was composed of many small magnetic balls in the pelvic region.Interventions:The foreign body was removed under cystoscopy, and 67 magnetic balls were detected without any surgical or postsurgical complications.Outcomes:During operation, A cystoscopic examination confirmed no residue.Lessons:The bladder is the most common site of a foreign body in the urinary tract.Most intravesical foreign bodies can be removed transurethrally and with minimum access. The best mode of management depends on the nature of the foreign body, lodged site, expertise of the surgeon, and available instruments.

Acute Generalized Peritonitis Due to the Migration of a Ballpoint Pen from Bladder to Great Peritoneal Cavity: A Case Report

Foreign bodies of the bladder are rares. The presence of a foreign body in the bladder is often anecdotic. We report a case of acute generalized peritonitis due to migration of a ballpoint pen from bladder to great peritoneal cavity in a 17-year-old man. He was admitted for a peritoneal syndrome after introducing a ballpoint pen into the urethra to masturbation purposes. He has no psychiatric history. Exploration had found an agglutination of small bowel loops around the ballpoint pen. The ballpoint pen was about 13.5 cm long and was transfixing the small intestine. We had noted about 20 cm of ileal necrosis about 30 cm from the ileocecal junction. An exit port was located at the posterior wall of the bladder. We performed a resection of the necrotic portion followed by end-to-end anastomosis. Bladder foreign bodies can have serious complications such as the formation of an acute surgical abdomen after migration of the foreign body. The extraction must be quickly carried as soon as the diagnosis is made to avoid these complications.

Transvesical laparoendoscopic single-site surgery (T-LESS) to remove an unusual foreign body from the bladder.

Foreign bodies in the bladder are quite common disorders of the lower urinary tract. Most of them originate from various surgical procedures but rarely are a consequence of transurethral self-insertion, as a result of sexual curiosity or autoerotic stimulation. From 2006 to 2015, in our center the prevalence of this condition was 0.05%, but only six (0.02%) of the cases were due to sexual curiosity. Transurethral endoscopic procedures as well as open or laparoscopic, or single-port techniques, have been successfully applied to remove bladder foreign bodies. We present the case of using the transvesical laparoendoscopic single-port surgery (T-LESS) for removal of an unusual metallic foreign body.

Unusual Foreign Body in Urinary Bladder

Wide variety of foreign bodies from the lower urinary tract are inserted or applied for sexual stimulation, therapeutic purpose or by patients with psychiatric disturbances. Most of them have a delayed presentation due to embarrassment and usually present themselves when a complication had occurred from the foreign body such as difficulty in voiding, pain, haematuria, swelling, extravasations or abscess formation. We present a case of a thermometer being introduced into the bladder and its management.

Electric Wire as Foreign Body in the Bladder and Urethra-a Case Report and Review of Literature.

Foreign body in the urinary bladder is a relatively rare occurrence. A variety of foreign bodies, majority of which were mostly self-inflicted for autoerotic reasons, have been reported in the literature. Here, we report a case of self-inserted electric wire in the bladder and review the literature.

Cystoscopic Extraction of a Whole Pen From the Bladder: A Case Report and Review of Bladder Foreign Bodies’ Treatment Options

Foreign bodies (FBs) in the urinary bladder are relatively rare. FBs introduced through the urethra are the most common cause of bladder FBs and introduced for the purpose of sexual stimulation. Patients may be asymptomatic or presented with various lower urinary tract symptoms. Here we reported the management of a pen introduced inside the bladder of a young female patient. World J Nephrol Urol. 2014;3(1):54-57 doi: http://dx.doi.org/10.14740/wjnu150w

Medical Foreign Bodies in Urinary Bladder: a Case Report

Medical Foreign Bodies in Urinary Bladder: a Case Report

Self-Inflicted Male Bladder Foreign Body: Its Endoscopic Removal Using a Rigid Cystoscope and a Suprapubic Forceps

Introduction. Herein we present an interesting technique for the removal of bladder foreign body (BFB) in which a combination of endoscopic and suprapubic cystostomy was used. Case Presentation. The patient was a case of illicit drug abuser who self-introduced an electrical wire into his bladder. After its failed cystoscopic removal, the foreign body was removed suprapubically without open bladder surgery. Discussions. Bladder foreign bodies are not uncommon. Based on the literature review, mainly open surgeries were used for their treatment. Using of our less invasive technique is a good way for escaping from open cystostomy. Conclusion. Endoscopic removal of the bladder foreign bodies is possible without any need for open bladder surgery.

Foreign Body in Bladder of a Patient with Urethral Stenosis: A Case Report

Foreign Body in Bladder of a Patient with Urethral Stenosis: A Case Report

Unusual Foreign Body in Urinary Bladder: A Case Report

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42

An Electrical Wire as Foreign Body in Bladder-A Rare Presentation

Foreign bodies in bladder being unusual in the clinical setting present as a diagnostic dilemma with the history being vague as highlighted by the present case of a 15years old boy who was found to have long electrical wire coiled together in the bladder extending into whole urethra. Cystoscopic retreival was not possible as the wire had formed a huge coiled mass with knotting. The wire was removed by a suprapubic cystostomy. Postoperative period was uneventful.

An Unusual Intravesical Foreign Body – Erotogenic Masochism with a Brief Review

A wide range of unusual foreign bodies in the bladder has been reported in the literature. The urethra is the main entrance if the foreign body is inserted into the urinary tract. We present a report regarding a Hindu male aged 16 years, who was admitted in the Urology Department of S.P. Medical College and Associated Group of Hospital, Bikaner, on 3.12.2007 with complaints of pain in the lower abdomen and blood in urine. The X-ray examination revealed a foreign body in the urinary bladder, which was removed by an urologist. The case was referred to a psychiatrist, who took the patients into confidence and diagnosed him as case erotogenic masochism.

Unilateral Hydronephrosis and Hydroureter by Foreign Body in Urinary Bladder: A Case Report

Foreign bodies inserted through the urethra are often found in the urinary bladder. We presently report the first case of hydronephrosis and hydroureter due to direct compression in the urinary bladder by silicon, which had been introduced by the patient himself 2 yr prior to presentation with severe right flank pain. Computed tomography indicated a convoluted, high-attenuation mass in the urinary bladder; unilateral hydronephrosis and hydroureter were also present due to direct compression by the mass. The foreign body was removed using a cystoscope. This foreign body was proven to be silicon.

Foreign Bodies in Urinary Bladder: A Clinical Case

A pencil in the urinary bladder is an unusual problem for urologists. We present a case in a 44-year-old female with an eyeliner pencil self-introduced into the urethra. The patient was referred to us with a recent history of "ingestion of foreign body". The clinical presentation, radiologic data, and treatment were reported. The patient had a pencil placed sideways in the urinary bladder, with focal perforation of the left wall. A cystoscopy was performed and the pencil was removed at the same time by using grasping forceps and hydraulic overdistention of the urinary bladder. Bladder is the most common location of foreign bodies of the urogenital tract, almost always due to self-insertion into the urethra for the purpose of masturbation or as a result of non-inhibited or altered behavior due to psychiatric diseases, or to the influence of drugs. Most patients were too ashamed to admit they had inserted or applied any object and usually presented when a complication had occurred such as difficulty in voiding, hematuria, pain or swelling, extravasations or abscess formation. The treatment can be endoscopic, and it depends on the type of the foreign object and the operator's skills.

A Very Long Foreign Body in the Bladder

In the urinary tract, foreign body is most commonly found in the urinary bladder. But it is anatomically very difficult for a man to self-insert a long object into the urinary bladder. Here we report a case of a 49-year-old Japanese man who has inserted a 140-cm vinyl tube in the bladder for masturbation. He could not retrieve it, and the bladder foreign body remained in this position for about two years. He was referred to our hospital and open surgery was performed.

CT detection of foreign body nidus within urinary bladder calculus: Use of wide bone window setting and maximum intensity projection

Bladder foreign body is an important cause for bladder calculus formation. In the literature, conventional radiography is the only imaging modality that has been shown to be able to detect the foreign body nidus within the bladder calculus. However, the majority of foreign body nidi remain undetected until surgical or endoscopic calculus removal. We describe the use of CT using wide bone window setting and maximum intensity projection to detect a foreign body nidus that was not visualized on conventional radiography.

Foreign Bodies in the Female Urinary Bladder: 20-Year Experience in Ramathibodi Hospital

Objective Foreign bodies in the female urinary bladder may occur by self-insertion or migration from adjacent organs. The most common reason for this is sexual in nature, but hygienic behaviour and attempts to relieve voiding problems have been reported. Only small case series were found in the literature devoted to foreign bodies in the urinary bladder. Therefore, we reviewed our experience regarding foreign bodies in the female urinary bladder in our hospital. Methods Medical records of female patients who were diagnosed with a foreign body in the urinary bladder during 1985–2005 were reviewed. Demographics, causes, type of object found, clinical presentation, treatment and outcomes were noted. Results Seventy-eight patients with a mean age of 38 years were identified. The major route for ingress of foreign bodies was via the urethra. The objects found self-inserted were cotton swabs, tampons, paper clips and pen casings. As most of Thailand is an agricultural environment, some small living organisms such as leeches could be found as foreign bodies in the bladder. The majority of the cases presented with haematuria associated with frequency, urgency and pelvic pain. Almost all cases could be managed by endoscopic removal with minimal complications. Four cases were treated by open surgery. Conclusion Foreign bodies in the urinary bladder represent a urological challenge that requires prompt management. The suspected history and presenting symptoms are crucial and lead to fur-ther investigations. Gentle endoscopic management is the main treatment with a high success rate.

Bladder Foreign Body

This 35-year-old woman with bipolar disorder was found wandering with disorganized speech. The patient said that she had a nail in her uterus.

T11-P-05 Sexual “satisfaction” with transurethral inserted foreign bodies - a real minimally invasive treatment problem

Objective The wide variety of foreign bodies inserted into the urethra and bladder for autoerotic purposes includes all types of objects. This study aimed to present our experience in diagnosing and managing such cases. Design and Method Between January 1995 and June 2007, 27 patients (9 females and 18 males) with different types of urethral or intravesical foreign bodies were admitted into our clinical department. Symptomatology included: dysuria, urethrorrhagia, hematuria, recurrent urinary tract infections, lower abdominal pain, pyuria, or excretion of small parts of the foreign body. The investigative protocol included a thorough medical history, clinical examination, abdominal ultrasound, KUB, IVP and cystoscopy. Results Our series of patients included 9 patients (8 males and 1 female with urethral foreign bodies and 18 patients (10 males and 8 females) with intravesical foreign bodies introduced for autoerotic stimulation: candles, paintbrushes, pencils, electric wires, vinyl tubes, etc. 26/27 cases (96.3%) were treated endoscopically. In 8 cases (30.8%) treatment consisted in simple foreign body removal with the grasping forceps or with the stone basket. In 18 cases (69.2%), more complex endoscopic procedures were required, including lithotripsy of the encrustations/stones or fragmentation of the foreign body before its extraction. Only 1 case of intravesical foreign body required open surgery. Conclusion Bladder and urethral foreign bodies are rare pathological entities. Nevertheless, they may represent a medical emergency. The endoscopic approach is an efficient option in most of the cases in order to minimize the operative trauma.

T05-O-16 Cystoscopically and laparoscopically bipolar approach for the extraction of an endovesical electric cable inserted for sexual stimulation

A large variety of foreign body was described at the level of bladder. Even the diagnostic is no difficult, especially with the radiological methods, the treatment can be a challenging problem for the urologist for safely and minimalinvasive removal of this foreign body. A 22-year-old male was reffered to our emergency room for a acute urinary retention due to the presence of a foreign body at the level of uretra. Clinical exam and pelvis radiography present an opac structure with a knot at the bladder neck level makeing extraction of the cable impossible. Cystoscopic exam confirm the radiological image. A 10 mm laparoscopic trocar was introduced suprapubically and a 10 mm scissor cut the electric cable and his knot under a cystoscopic control. The electric cable was extract via laparoscopic trocar with the 10 mm laparoscopic forceps. An 18 ch urethro-vezical catheter and a Retzius drainage tube at the percutaneous approach point was inserted. Operative time was 30 minutes. No major analgesic therapy was required. The Retzius drainage tube was extracted the next day and the patient was released the second postoperative day. A prophylactic antibiotic treatment was maintained 10 postoperatory days. Urethro-vesical drainage tube was extracted 7 after the surgical intervention. Bladder foreign body extraction-an electric cable in this case-can be performed by a bipolar approach transurethral and suprapubic, combaining the laparoscopy and cystoscopy advantages.