Body In Bladder Research Articles

Cystoscopic extraction of a wired earphone from male urinary bladder

Abstract A foreign body in the urinary bladder is an uncommon urological emergency, resulting from scenarios such as iatrogenic injuries, self-insertion for pleasure, sexual abuse, assault, and migration from the adjacent sites. Self-inserted urinary bladder foreign bodies for sexual enjoyment pose a substantial issue for clinicians due to their difficulty in the diagnosis and therapy. Most patients were admitted late owing to embarrassment, resulting in severe short-and long-term consequences. This case study describes the intriguing presentation of a 57-year-old male who came to the surgery outpatient department 17 days after experiencing burning when urinating along with blood and dysuria. Wire-like radiodensities in the soft tissues of the pelvis were seen on an X-ray; their morphology was described as that of an earphone wire. The wired earphone foreign body was removed using a cystoscopy procedure. The patient’s hospital stay was minimal, and he was discharged with antibiotics and analgesics.

Intrauterine foetal death product as a foreign body in urinary bladder: A case report

Intrauterine foetal death product as a foreign body in urinary bladder: A case report

Incidental Findings of Foreign Body in Bladder in 2 Cases

Incidental Findings of Foreign Body in Bladder in 2 Cases

Grass awn in the urinary bladder of a 5-months old mixed-breed dog – a case report

Grass awn foreign body-related disease is common in dogs throughout Poland, typically affecting the ears and subcutaneous tissue, but the presence of grass awns in the urinary bladder is a rare pathology in veterinary medicine. The diagnosis of foreign bodies in the urinary tract is challenging because their signs overlap with those of urinary tract infections. Hence, patients with grass awns in the urethra or urinary bladder can easily be misdiagnosed and mistreated. It is worth considering the potential presence of a plant foreign body in the urinary tract in the case of sudden hematuria and abdominal discomfort, especially in the spring and summer. Quick diagnosis and surgery treatment are essential to protect the patient from severe complications. The purpose of this report is to present the diagnosis and treatment of a dog with hematuria and abdominal discomfort which was diagnosed with a foreign body (a grass awn) in the urinary bladder.

Migrating foreign body into the urinary bladder of children postperineal trauma

Foreign body (FB) in the urinary bladder (UB) is uncommon and rarely reported in pediatric patients. FB migration into the UB is an extremely rare and unpredictable condition that needs a high index of suspicion with meticulous history taking and clinical reasoning, so diagnosis may be challenging. In this study, we report two cases of male pediatric patients from Sudan with FB in the UB, with a history of penetrating perineal trauma, both were presented with irritative lower urinary tract symptoms, history of penetrating perineal trauma, and unremarkable clinical examination. Both were diagnosed by abdominal Ultrasound study (USS) and confirmed by cystoscopy. One child was treated by endoscopic extraction, while the other was treated by open surgical extraction. The outcome of treatment of both the cases was satisfactory.

Unusual glass foreign body in the urinary bladder: a COVID-19 lockdown effect

A variety of foreign bodies/objects have been recovered from the urinary bladder and urethra. However, trauma may also be a cause of delayed intravesical foreign body presentation. Delayed presentation with minimal bothersome symptoms and with no other associated organ injury is very unusual. As per available literature on urinary bladder FBs, this is the rare case in which isolated glass foreign body was recovered from urinary bladder. A 38-year-old male presented with complaints of pain in the lower abdomen after passing urine and occasional terminal haematuria after straining on stools, for 5-6 months. Patient gave history that he had a fall over glass table while dusting a ceiling fan 6 months ago. He had glass piece injury to left buttock. Due to COVID-19 lockdown he was unable to contact nearby health facility, so, he self-removed a glass piece from buttock wound. Patient was planned for cystoscopy with exploration and removal of foreign body under spinal anaesthesia. Detailed history and examination are of paramount importance in intravesical foreign body cases. Cross-sectional imaging should be done to rule out associated adjacent organ injury and retained foreign body parts. Sharp glass foreign body in urinary bladder should be removed via cystotomy in order to avoid mucosal injury by sharp edges.

Intravesical foreign body: our experience of diagnostic clue and management.

Background: The study aims to evaluate the clinical presentation, type of foreign body, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital. Material and Methods: This was a retrospective study conducted between January 2019 to December 2020. Twelve patients underwent treatment for an intravesical foreign body at Srirama Chandra Bhanja Medical College and Hospital, Cuttack, Odisha, India.. Results: A total of twelve patients were treated for a foreign body in the urinary bladder. All the patients vary in age group starting from 20 to 72 yrs. Among the total of twelve patients, 5 were female whereas 7 were male patients. Patients were presented with the symptoms like dysuria, frequency, hematuria, lower abdominal pain, burning micturition. Among these twelve patients, two patients had self-inflicted foreign bodies, one pencil and the other was a stick. One patient had thread, and two female patient had IUD.The remaining 7 patients were old aged male had a piece of foley catheter in the urinary bladder. Among all these 12 patients, only two patients were treated with open procedure i.e suprapubic cystolithotomy as foreign bodies (IUD and piece of foley) lead to calculus formation over it. Rest all patients were treated with endoscopic removal of a foreign body under either local anaesthesia or Spinal anaesthesia. Conclusions: Endoscopic retrieval of Foreign Body is always preferred and safe approach. Removal of the foreign body without injury to the urinary bladder or the urethra gives a good outcome.

Foreign bodies in the urinary bladder – report on two cases in Kumasi, Ghana

Foreign bodies in the urinary bladder – report on two cases in Kumasi, Ghana

Foreign body (copper wire) in urinary bladder and urethra: an unusual case presentation

Foreign bodies are rarely reported in the urinary bladder and urethra; though it is a topic of curiosity amongst the urologists and surgeon. In majority of the cases, the foreign body is removed via the transurethral approach. A 19-year-old young male patient was brought to our Institution with history of insertion of a wire through urethra during act of masturbation in the middle of night. Patient was having severe pain in penis along with burning micturition. Patient was taken up in emergency for retrieval of the foreign body (wire) transurethrally (cystoscopic approach). Scope was inserted through urethra and the foreign body retrieved was found to be “copper wire”.

Ultrasonographic diagnosis of a hair foreign body in the urinary bladder of a dog

A 13-year-old male neutered mixed-breed dog with a history of gallbladder mucocele and urolithiasis was evaluated by ultrasound. Two hyperechoic, linear foreign bodies with no distal acoustic shadowing were detected in the urinary bladder and urethra. Following the ultrasound examination, the patient underwent cystoscopy, and two single hairs were found and successfully retrieved. Considering that urinary bladder foreign bodies may be a source for urinary tract infection and can act as a nidus for urocystolith formation, removal is recommended. This is the first published report describing ultrasonographic diagnosis of a hair foreign body in the canine urinary bladder and urethra.

Perforating urinary bladder foreign body managed with minimally invasive surgery

Foreign bodies are occasionally reported in the urinary bladder, especially in females. The consequences and clinical impact depend on the route of insertion and the patient’s hemodynamic condition, and their removal may include minimally invasive procedures to open cystostomy. In most cases, foreign bodies are removed through transurethral approach. Here, we report one such case of a foreign body in the urinary bladder, which was self-inserted and had perforated through the bladder wall, yet could be successfully managed by cystoscopic removal without any complications.

Pen cap in the urinary bladder: A rare type foreign body in the urinary bladder in a 16 years old female

Foreign body in the urinary bladder is a rare urological presentation and in most cases are due to self-insertion usually for autoerotic stimulation. We presented a case of 16 years old female who presented with history recurrent urinary tract infection for 6 months. After thoroughly work up she was diagnosed to have a pen cap in her urinary bladder. The foreign body in the urinary bladder was detected by abdominal ultrasound, Kidney, Ureter and Bladder (KUB) X-ray did not detect any abnormal radiopaque material in the area of the urinary bladder or upper tract. At cystoscopy, one pen cap was identified and removed successful.

Pen cap in the urinary bladder: A rare type foreign body in the urinary bladder in a 16 years old female

Pen cap in the urinary bladder: A rare type foreign body in the urinary bladder in a 16 years old female

Urethral Masturbation, Urethral Foreign Body—Review of Cases

Intravesical foreign body is a rarity. Studies have reported several items in urinary bladder like gauze pieces, worms, electrical wires, chicken bones, thermometers, pieces of Foley catheter, batteries and snakes. Herein, a case of an electrical wire inserted in male urethra and coiled in the bladder is presented. A seventeen-year-old male presented with history of insertion of electric wire per-urethra. The wire got stuck when he tried to pull it. He had made several unsuccessful attempts to remove it. On examination, the wire was seen protruding from external urethral meatus. An X-ray demonstrated the wire coiled and knotted inside the bladder. Considering high chances of endoscopic treatment failure, suprapubic cystotomy was performed and the wire was removed. The most common reason for self-insertion of a foreign body into male urethra is of erotic or sexual nature. In majority of cases, patient feels guilty and humiliated; therefore, he delays medical help. Many authors advocate psychiatric evaluation of these patients, considering it an indication of self-punishing and impulsive behaviour. However, it is controversial as many of these patients are psychologically normal. The definite management is complete removal of the foreign body by endoscopic or open approach. However, choosing the optimal technique depends upon the patient’s condition, urinary tract injuries and the size, shape and material of foreign body. A self-inflicted foreign body in urethra and bladder is rarity. Endoscopic manipulation is the preferred treatment, and if unsuccessful, open procedures may be necessary.

Title: Yes, it's A Pencil: Young female with Foreign body in Urinary bladder: Rare case report.

Title: Yes, it's A Pencil: Young female with Foreign body in Urinary bladder: Rare case report.

Bladder stone on non-absorbable sutures twenty years after a female sterilization

Foreign body in the urinary bladder causes recurrent infection and stone formation. This is an unusual case report of a bladder stone formed on a non-absorbable suture 20 years after a female sterilization. It was detected with ultrasound and pelvic X-Ray. Laparotomy was done for its completed removal as cystoscopy failed to remove it. This case highlights that abdominal- pelvic scan and pelvic x-ray in addition to a urine test, should be included in the early part of the investigation in the management of recurrent urinary tract infection to exclude the possibility of the bladder stone.

Foreign body in gallbladder: A case report

Foreign bodies in the gall bladder are a rare event, and they being asymptomatic is even rarer. The rarity of such a clinical entity makes the following worthwhile of recording. We report the case of a 51-year-old male who was incidentally found to have gallstones on abdominal ultrasound. The patient himself was asymptomatic. Blood investigations were unremarkable. The patient underwent a laparoscopic cholecystectomy which was later converted to an open procedure. Intraoperatively, he was found to have a cholecystoduodenal fistula for which cholecystectomy, resection of fistula, and repair of the duodenum were done. On bisecting the gallbladder specimen, it was found to contain a wooden toothpick. To the best of our knowledge, this is the first report in the medical literature of a toothpick inside the gallbladder.

An Unusual Self-Inflicted Foreign Body in the Urinary Bladder and Urethra: A Case Report

Introduction: 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. Case Presentation: Herein we present a case of self-inserted lower genitourinary foreign body. A 60 years old man presented with complaints of dysuria, dribbling, haematuria and suprapubic pain for 3 weeks. An X-ray of the pelvis showed a coiled up radio opaque shadow of telephone wire in the bladder region extending downwards which was removed by suprapubic cystostomy. Discussions: Bladder foreign body is not common. Plain radiograph is sufficient to diagnose and minimally invasive procedure is usually successful. In this case retrieval by cystostomy was done to avoid the risk of bladder and urethral injury. Conclusion: Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimize bladder and urethral trauma. The possibility of an intravesical foreign body should be considered in any patient with chronic unexplained lower urinary tract symptoms. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.94-97

Rare cause of foreign body in urinary bladder

Foreign body in urinary bladder is not an uncommon entity. Mostly it happens due to iatrogenic reasons or for sexual gratification. Here we are reporting a common foreign body in urinary bladder with a rare cause which is not reported in literature earlier. A 50-year-old married man referred from village with history of inserting electric wire in urethra and X-ray pelvis showing coiled metallic foreign body in the bladder region. There was dysuria, burning and sometimes hematuria. All other investigations were normal. On examination his both groins and perianal region were involved with Tinea cruris. Patient told that he had intense itching which was not benefitted by skin treatment. He himself started doing some manipulation in urethra with a piece of wire to get some relief in itching. The metallic wire was removed by cystoscopy under spinal anaesthesia and C-arm guidance. Post-operative course was uneventful, and patient was sent to dermatologist for treatment of Tinea cruris. After 1 month there were no urinary symptoms and patient had improvement in Tinea symptoms. We recommend that whenever anyone comes across a case of foreign body in urinary bladder, detailed history should be taken, and local examination should be done to find any organic cause for the same and treated to prevent recurrence and stigma to the patient.

Self-Insertion of Foreign Bodies in Urethra and Bladder: Report of Three Pediatric Cases

Self-inserted urethrovesical foreign bodies are rare in children.We present three cases and discuss the clinical presentation, diagnosis and management of such patients. In case 1, a 16-year-old boy introduced a wire into the urethra and partially into the bladder three days before. In case 2, a 4-year-old boy introduced a hairpin in the urethra in the same day. In case 3, a 11-year-old boy introduced a sewing needle in the urethra a few hours before. Cystourethroscopy and suprapubic cystotomy were used to remove the foreign bodies. The presentation of urethrovesical foreign bodies can vary widely, as can the type of object inserted. Foreign body retrieval is determined by its morphology and the patient’s conditions with the aim to minimise urothelial trauma and preserve erectile function. Definitive treatment is usually the endoscopic removal, however sometimes surgical intervention may be required. It is advocated follow-up with long duration, which is necessary to diagnose the long-term complications including urethral stricture.