Endoscopic Management of Foreign Body in Urethra and Urinary Bladder

Muhammad Malik; Abdul Rehan; Safdar Javed; Zahid Iqbal

Nephro-Urology Monthly

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Endoscopic Management of Foreign Body in Urethra and Urinary Bladder

Author(s):

Muhammad Akram Malik

^1,*,

Abdul Ghaffar Rehan²,

Safdar Hassan Javed²,

Zahid Iqbal²

1Department of Urology, Madina Teaching Hospital, University Medical College Faisalabad, akrammlk@yahoo.com, Pakistan

2Department of Surgery, Madina Teaching Hospital, University Medical College Faisalabad, Pakistan

Nephro-Urology Monthly:Vol. 1, issue 1; 56-60

Article type:Research Article

Received:Mar 17, 2009

Accepted:Apr 14, 2009

How to Cite:Muhammad Akram MalikAbdul Ghaffar RehanSafdar Hassan JavedZahid IqbalEndoscopic Management of Foreign Body in Urethra and Urinary Bladder.Nephro-Urol Mon.1(1):56-60.

Abstract

Aims:To analyze endoscopic management of foreign body urinary tract, its outcome and complications.

Methods: A retrospective study of 11 cases of foreign body urinary bladder and urethra was performed from Jan, 2001 to June, 2008. Diagnosis was confirmed by X-Ray and ultrasound and removal was done by endoscopic and open surgery.

Results: Total numbers of patients were 11, out of which 8 were male and 3 female. Eight patients have foreign body in bladder and 3 in urethra. Lower urinary tract symptoms, hematuria, pyuria and urinary retention were the main symptoms. Endoscopic removal was successful in 9 out of 11 patients.Psychiatric disorder was present in 4 patients while two inserted these for autoerotic stimulation. Urethral stricture was the main complication.

Conclusions: Foreign bodies in urinary tract are rare. Radiological evaluation is mandatory to ascertain exact size, shape, site, and type of object. Endoscopic removal is usually successful in expert heads with little complications. A psychiatric evaluation is recommended for self inflicted foreign bodies.

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