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Urethral Foreign Body


Presentation

  • A retained urethral foreign body is an uncommon presentation in the Emergency Department.[ncbi.nlm.nih.gov]
  • Get expert guidance on how to approach specific clinical presentations in the ER.[books.google.com]
  • Case presentation We present the case of a 36-year-old Caucasian man with a history of self-inflicted penile strangulation by a ring in childhood.[jmedicalcasereports.biomedcentral.com]
Burkina Faso
  • About a Case Report at Bobo Dioulasso University Teaching Hospital (Burkina Faso) and Literature Review, Open Journal of Urology, 04, 04, (33), (2014).[doi.org]
Painter
  • Painter MR, Borski AA, Trevino GS, Clark WE. Urethral reacion to foreign objects. J Urol 1971; 106:227–30. 8. Win T. Giant urethral calculus. Singapore MedJ1994;35:4145. 9. Amin HA. Urethral calculi. Br J Urol 1973;45:192–9. 10.[bjuinternational.com]
Rigor
  • Poor compliance with rigorous CIC protocols further adds to the detrimental effects of this otherwise easily correctable anomaly. It also provides a means to introduce infection in an obstructed system.[afrjpaedsurg.org]
Recurrent Urinary Tract Infection
  • He occasionally had fever and left flank pain but no lower urinary tract symptoms or recurrent urinary tract infections. His urine was turbid and foul smelling.[afrjpaedsurg.org]
Chest Pain
  • The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department[books.google.com]
Vertigo
  • The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department[books.google.com]
Dizziness
  • The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department[books.google.com]
Dysuria
  • The most common symptom was frequency with dysuria, but there was sometimes gross haematuria and urinary retention.[ncbi.nlm.nih.gov]
  • Symptom Bladder urethral foreign body symptoms common symptoms urethral nodules dysuria dysuria bladder irritation urinary incontinence urinary urinary urgency frequency abscess 1. history Bladder area foreign body generally have a clear history of the[healthfrom.com]
  • Contrary to what might have been expected, he remained asymptomatic and presented with neither dysuria nor hematuria nor urinary incontinence.[jmedicalcasereports.biomedcentral.com]
  • The patient showed a history of dysuria with no associated fever. He had no episodes of haematuria.[bjuinternational.com]
  • Resulting symptoms usually involve urinary frequency, dysuria, nocturia, hematuria, gross bleeding from the urethra, difficulty in voiding, or complete urinary retention[ 1, 2 ].[doi.org]
Hematuria
  • Pathogenesis Bladder and urinary tract foreign body can directly cause bladder and urethral mechanical stimulation and injury, urethra and its surrounding tissue infections, urinary disorders, hematuria, urinary extravasation, stones, bladder fistula[healthfrom.com]
  • Contrary to what might have been expected, he remained asymptomatic and presented with neither dysuria nor hematuria nor urinary incontinence.[jmedicalcasereports.biomedcentral.com]
  • Key Words Foreign body, urinary bladder, hematuria.[scopemed.org]
  • CLINICAL HISTORY 36-year-old male with a psychiatric disorder and recurrent history of foreign body placement presented with dysuria and hematuria.[radiologykey.com]
  • Keywords Foreign-Body Urinary Bladder Hematuria Copyright 2012, Thrita.[thritajournal.com]
Urinary Incontinence
  • Contrary to what might have been expected, he remained asymptomatic and presented with neither dysuria nor hematuria nor urinary incontinence.[jmedicalcasereports.biomedcentral.com]
  • Symptom Bladder urethral foreign body symptoms common symptoms urethral nodules dysuria dysuria bladder irritation urinary incontinence urinary urinary urgency frequency abscess 1. history Bladder area foreign body generally have a clear history of the[healthfrom.com]
  • Complications that can result from urethral injuries include infection, bleeding, permanent narrowing (stricture), erectile dysfunction, and uncontrollable loss of urine ( urinary incontinence ).[merckmanuals.com]
  • Long term complications have been described in literature which include stricture formation, diverticulum, urinary incontinence and erectile dysfunction [ 6 ].[casereports.in]
  • incontinence blood in the urine Treatment options can include: stents or tubes to help drain urine from the kidneys an indwelling urinary bladder catheter to assist urine flow surgery to remove either the blockage or a severely damaged kidney Kidney[medicalnewstoday.com]
Strangury
  • If a foreign body coming from the bladder is too large to pass, dysuria, strangury or anuria soon manifest themselves. Thus in v.[gluedideas.com]
  • The term strangury has been replaced with the more general term bladder spasms. 9 Treatment. Removal of urethral foreign bodies typically is done in conjunction with a urologist.[mdedge.com]
  • Of those who seek medical attention, haematuria, dysuria, urinary frequency, strangury and urinary retention are the most common presenting features [ 2 - 5 ].[casereports.in]
  • […] may remain asymptomatic or have acute cystitis due to irritation of the lower genitourinary tract, which leads to symptoms such as dysuria, frequency, lower abdominal pain, microscopic or gross haematuria, acute urinary retention, urethral discharge, strangury[einj.org]
  • Symptoms of intravesical foreign bodies are usually those of acute cystitis including urinary frequency, dysuria, hematuria, and strangury.[omicsonline.org]
Anuria
  • If a foreign body coming from the bladder is too large to pass, dysuria, strangury or anuria soon manifest themselves. Thus in v.[gluedideas.com]

Workup

  • Point and Stanley Zaslau, Bedside Ultrasound in Workup of Self-Inserted Headset Cable into the Penile Urethra and Incidentally Discovered Intravesical Foreign Body, Case Reports in Emergency Medicine, 2013, (1), (2013). Aaron M. Potretzke, Kelvin S.[doi.org]
  • The patient later presented to us with inability to pass urine and his workup revealed a large circular rubber bullet in the bladder.[jpmsonline.com]
  • Eighth case had encrusted prolene sutures wandering in the bladder lumen which were found during cystoscopy in diagnostic workup for LUTS in a 62 year old male who had right side herniorrahphy 5 years back.[omicsonline.org]

Treatment

  • The diagnosis and treatment of retained urethral foreign bodies are determined by their size, location, shape, and mobility and often require specialty consultation and operative intervention.[ncbi.nlm.nih.gov]
  • Treatment Summary of treatment of bladder and urethral foreign body Departments: Urology Surgery Broken Center Other departments Surgery Treatment: Surgical treatment of supportive treatment Treatment cycle: 2 - 5 days Cure rate: 95% Commonly used drugs[healthfrom.com]
  • Selli C, Barbagli G, Carini M, Lenzi R, Masini G: Treatment of male urethral calculi. J Urol 132: 37-42, 1984. 21. Durazi MH, Samiei MR: Ultrasonic fragmentation in the treatment of male urethral calculi. Br J Urol 62: 443446, 1988. 22.[bjuinternational.com]
  • Despite intensive medical treatment, doctors were forced to amputate the man's legs above the knee and all but one of his fingers. The patient's penis fell off by itself, doctors said.[erythroxylum-coca.com]

Etiology

  • Introduction Etiology Prevention Complication Symptom Examine Diagnosis Treatment Basic Nursing Introduction Introduction of bladder and urinary tract foreign body Urinary tract upper urinary tract foreign body less, more common in the lower urinary tract[healthfrom.com]
  • Drach GW: Urinary lithiasis: Etiology, diagnosis and medical management. In Walsh P, Retik A, Stamey, Vaughan D. Eds. Campbell’s Urology, 6th edn. Philadelphia:W.B. Saunders, 21442145, 1992. 11.[bjuinternational.com]
  • Although the exact etiology is unclear, various theories exist including incomplete formation of ventral corpus spongiosum, congenital cystic dilation of the periurethral gland, an abortive attempt at urethral duplication, and a ruptured Cowper's duct[afrjpaedsurg.org]
  • Int J Gynaecol Obstet. 1995 ; 50 : 193 -195 Genital foreign bodies are uncommon in prepubertal children, but this etiology should be considered when children present with genital discomfort, discharge, or bleeding.[pedsinreview.aappublications.org]
  • While psychiatric pathology has been hypothesized as the underlying etiology in some of these cases, the incidence of the behavior within psychiatric practice has not been established.[jaapl.org]

Epidemiology

  • Nosocomial urinary tract infection with Serralia marcescens: an epidemiologic study. J. Infecí. Dis. 128 : 579 – 587. 77a. Mangram, A. J., , T. C. Horan, , M. L. Pearson, , L. C. Silver, , and W. R. Jarvis. 1999.[asmscience.org]
Sex distribution
Age distribution

Prevention

  • Prevention Prevention of bladder and urethral foreign body The disease no effective preventive measures, early detection of early diagnosis is the key to prevention and treatment of this disease.[healthfrom.com]
  • Guidelines for prevention of surgical site infection. 1999. A. J. I. C. 27 : 97 – 132. 78. Martin, C. M., , and E. N. Bookrajian. 1962. Bacteriuria prevention after indwelling urinary catheterization: a controlled study. Arch. Intern.[asmscience.org]
  • Treatment helps to prevent some complications of urethral injuries. Complications that cannot be prevented are treated accordingly.[merckmanuals.com]
  • Treatment helps to prevent complications of ureteral injuries. If complications occur despite efforts to prevent them, they must be treated. NOTE: This is the Consumer Version.[msdmanuals.com]
  • Psychiatric evaluation should be strongly considered prior to disposition in an attempt to prevent future recurrences.[mdedge.com]

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