Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience From North India
نویسندگان
چکیده
PURPOSE This study was performed to characterise the nature, clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital. METHODS Between January 2008 and December 2014, 49 patients were treated for intravesical foreign bodies at King George Medical University, Lucknow. All records of these patients were retrospectively analysed to characterise the nature of the foreign body, each patient's clinical presentation, the mode of insertion, and how the case was managed. RESULTS A total of 49 foreign bodies were retrieved from patients' urinary bladders during the study period. The patients ranged in age from 11 to 68 years. Thirty-three patients presented with complaints of haematuria (67.3%), 29 complained of frequency of urination and dysuria (59.1%), and 5 patients reported pelvic pain (10.2%). The circumstances of insertion were iatrogenic in 20 cases (40.8%), self-insertion in 17 cases (34.6%), sexual abuse in 4 cases (8.1%), migration from another organ in 4 cases (8.1%), and assault in 4 cases (8.1%). Of the foreign bodies, 33 (67.3%) were retrieved by cystoscopy, while transurethral cystolitholapaxy was required in 10 patients (20.4%), percutaneous suprapubic cystolitholapaxy was performed in 4 patients (8.1%), and holmium laser lithotripsy was performed in 2 patients (4.08%). CONCLUSIONS Foreign bodies should always be included in the differential diagnosis when evaluating a patient who presents with chronic lower urinary tract symptoms. A large percentage of foreign bodies can be retrieved using endoscopic techniques. Open surgical removal may be performed in cases where endoscopic techniques are unsuitable or have failed.
منابع مشابه
Foreign bodies in the urinary bladder and their management: a Pakistani experience.
INTRODUCTION This was a retrospective study conducted to assess the nature, presentation, mode of insertion, diagnosis and management of foreign bodies in the urinary bladder. METHODS Between January 1998 and December 2007, 20 patients with foreign bodies in their urinary bladder were treated at our centre. The records of these patients were reviewed and analysed for their symptoms, mode of i...
متن کاملگزارش یک مورد نادر جسم خارجی در مثانه (نخ نایلونی)
Background: Occuring foreign bodies inside urinary bladder are a relatively rare condition. Generally, introduction of foreign bodies into the bladder may be iatrogenic, a result of penetrating trauma, self-insertion or migration from adjacent organs. Case presentation: A 10 year-old boy presented to the imaging center with a 3 months history of dysuria, increased frequency. Abdominal X-Ray ...
متن کاملComment on: "Foreign bodies in the urinary bladder and their management: a Pakistani experience".
I read with great interest the recent article by Mannan et al.(1) The authors have presented an interesting and important retrospective study that assessed the nature, presentation, mode of insertion, diagnosis and management of foreign bodies in the urinary bladder. The authors reported that the aetiology in 80% of their cases was iatrogenic.(1) However, we found this finding surprising, as du...
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Endourological Treatment of Foreign Bodies in the Urinary System
BACKGROUND AND OBJECTIVES In this retrospective study, nature, clinical presentations, diagnostic modalities, and endoscopic treatment of urinary system foreign bodies were evaluated. METHODS A total of 8 cases were treated with endoscopic surgery between February 15, 2007 and June 12, 2012. Clinical findings, radiologic diagnosis, and management were reviewed. RESULTS We observed that urin...
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عنوان ژورنال:
دوره 20 شماره
صفحات -
تاریخ انتشار 2016