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Urethrovesical Foreign Body: Report of Two Cases and Literature Review

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Introduction: Urethrovesical foreign bodies have been fairly reported. However, hitherto their diagnosis and subsequent management still pose challenge to clinicians. Different types of urethrovesical foreign bodies have been described. Broadly, they can be categorized as inserted, iatrogenic and migratory foreign objects. Regardless of their diversity, nature and origin, they do often lead to similar presenting symptoms and beset by multitude of complications. Case Report: We hereby report two cases: first, being self inserted wire into the male urethra and urinary bladder. Second case is a foreign body iatrogenically introduced into urinary bladder of a 52-year-old male during open prostate surgery. Conclusion: Patients with urethrovesical foreign bodies are highly susceptible to infections and other life threatening complications. Therefore, the use of broad spectrum antibiotics after culture and sensitivity studies coupled with safe removal of foreign bodies remains the mainstay of treatment. The precise modus operandi of retrieval always depends upon factors such as the type, size, shape and location of foreign object. Never the less, minimally invasive retrieval modalities are encouraged whenever deemed appropriately. Urethrovesical foreign bodies are frequently encountered in our clinical practice. It is therefore very essential to have high index of suspicion when reviewing patients with acute or chronic lower urinary symptoms.

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