Unusual Intravesical Foreign Bodies and their Management

Amilal Bhat ； Manish Singla ； Mahakshit Bhat ； Karamveer Sabharwal ； Ravi Upadhayaya ； Ram Kishan Saran

《Journal of Nephrology and Urology Research》 1卷1期 (2013/11) Pp. 3-7

並列摘要

Objective: The objective of the study was to evaluate the difficulties in diagnosis and management of various intravesical foreign bodies. Material and Methods: Retrospective review of patients with unusual intravesical foreign bodies presented at department of urology, from January 1992 to August 2011.Their record were reviewed for age and sex, clinical presentation, investigations, and treatment offered. All patients underwent evaluation including history, physical examination, ancillary testing as indicated and subjective symptom appraisal. Results: Age of the 25 patients (male female ratio, 1.7: 1) in study group varied from 1 to 65 years (mean age, 34.2 years). Nineteen patients (76%) had iatrogenic foreign bodies including retained corrugated rubber sheet in 1, a piece of a Foley balloon catheter in 7, cu- T wrongly put in urethra in 1 patient, cut end of Foley’s catheter in 3, fractured segment of Foley’s catheter in 1 patient, thread pieces in 1, Malecot rubber piece in 1and DJ stent in 4 patients. All of these patients had undergone some surgical intervention or urinary tract manipulation at peripheral hospitals and presented at variable intervals after the primary intervention. Four patients (16%) had migratory foreign body and 2 (8%) had self inserted foreign body. The most common presenting symptoms were urinary frequency, and dysuria. Endoscopic retrieval was possible in 11 (44.0%) patients, percutaneous cystolithalopaxy with removal of foreign body was possible in 7 (28%) and the remaining 7 (28%) underwent open cystostomy. None of the patients had any postoperative complications. Conclusion: Intravesical foreign bodies should be included in the differential diagnosis of patients presenting with chronic/recurrent lower urinary tract symptoms after previous history of pelvic surgery, instrumentation or IUCD insertion. Radiological evaluation is necessary to determine the exact size, number, and nature of foreign bodies and associated complications like stones. Most intra vesical foreign bodies can be retrieved with endoscopic and minimally invasive techniques.

並列關鍵字

Intravesical Foreign bodies ； Foley's Catheter Stem ； DJ Stent ； Rubber sheet ； Metallic Coil Diagnosis ； Management ； Endoscopic Removal ； Missed IUCD