Features of the extraction of foreign bodies from the lower urinary tract

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Abstract

BACKGROUND: Foreign bodies introduced by patients into the bladder and urethra are relatively rare in clinical practice. As a result, there is insufficient information in the scientific literature regarding methods of extracting foreign bodies from the urinary tract.

AIM: determination of the optimal methods for extracting foreign bodies from the urethra and bladder.

MATERIALS AND METHODS: Foreign bodies of the lower urinary tract were removed in 21 patients: 15 (71.4%) men and 6 (28.6%) women. Foreign bodies were found in the urethra in 7 (33.3%) patients and in the bladder in 14 (66.7%) patients. Removal of foreign bodies from the urethra and bladder was performed endoscopically or during open surgery.

RESULTS: Removal of stabbing, cutting and glass objects from the urinary tract in 9 patients was performed during open surgery. Foreign bodies with even smooth edges were removed in 12 patients under urethrocystoscopic control. At the same time, in two patients, coagulated suppositories were first fragmented in the bladder cavity, and then removed in parts. Cystolithotripsy was performed in one patient with a suppository inlaid with calculus before fragmentation.

CONCLUSIONS: Foreign bodies with sharp edges or made of glass are safer to be removed from the lower urinary tract during open surgery. Foreign bodies with a smooth and even surface are optimally removed endoscopically. Long and bulky foreign objects that can be fragmented in the bladder cavity are best removed in parts. When foreign bodies are encrusted with large calculi, cystolithotripsy should be performed before their endoscopic extraction.

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About the authors

Gocha Sh. Shanava

St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Almazov National Medical Research Centre

Author for correspondence.
Email: dr.shanavag@mail.ru
SPIN-code: 1706-7410

Cand. Sci. (Med.), urologist

Russian Federation, 3, Budapeshtskaya str., 192242, Saint Petersburg; Saint Petersburg

Michail S. Mosoyan

Almazov National Medical Research Centre; Academician I.P. Pavlov First St. Petersburg State Medical University

Email: moso3@yandex.ru
SPIN-code: 5716-9089
Scopus Author ID: 57041359200

Dr. Sci. (Med.), Head of the Department of Urology with the Course of Robotic Surgery, Head of the Center for Robotic Surgery

Russian Federation, Saint-Petersburg; Saint Petersburg

Arthur M. Grabsky

Yerevan Mkhitar Heratsi State Medical University; Medical Center “Izmirlian”

Email: amgrabsky@gmail.com
ORCID iD: 0000-0001-9617-9073

Dr. Sci. (Med), Associate Professor of the Department of Urology; Head of the Urology Clinic

Armenia, Yerevan; Yerevan

Karen G. Arzumanyan

Yerevan Mkhitar Heratsi State Medical University; Medical Center “Izmirlian”

Email: dr.karen.arzumanyan@gmail.com

clinical resident

Armenia, Yerevan; Yerevan

References

  1. Prokhorov AV. Diagnosis and treatment of urethral and urinary foreign bodies in adults. Perm Medical Journal. 2015;32(6):14–24. (In Russ.) doi: 10.17816/pmi32614-24
  2. Passaro G, Cappa E, Abbesis A, et al. Foreign bodies in urinary bladder: a clinical case. Urologia. 2011;78(4):310–313. doi: 10.5301/RU.2011.8865
  3. Ortoglu F, Gurlen G, Altunkol A, et al. A Rare Foreign Material in the Bladder: Piece of Pencil. Archives of Iranian Medicine. 2015;(9):616–617.
  4. Elbab TKF, Abdelhamid AM, Galal EM, et al. Management of intravesical self-inflicted sharp objects in children: 10 year single center eхperience. J Pediatr Urol. 2016;12(2):97.e 1–5. doi: 10.1016/j.jpurol.2015.06.020
  5. Yobing Li, Unique Gao, Xiangdong Chen, Shaobo Jiang. Rare fo¬reign body in bladder: A case report. Medicine (Baltimor). 2018;97(17): e0519. doi: 10.1097/MD.0000000000010519
  6. Doganay M, Metin E, Doganay M. Acute abdomen due to a foreign body in the urinary bladder in an adolescent. J Emerg Med. 2011;40(4):391–392. doi: 10.1016/j.jemermed.2009.08.017
  7. Mirsa S, Jain V, Ahmad F, et al. Metallic sewing needle ingestion presenting as acute abdomen. Niger J Clinic Pract. 2013;16(4):540–543. doi: 10.4103/1119-3077.116879
  8. Yi Min Tung J, Sim PY, Tung KH. Gastric banding clip in the urinary bladder. Urologia. 2019;86(3):127–129. doi: 10.1177/0391560319832481
  9. Kharbach Y, Tenkorang S, Ahsaini M, et al. Suicide attempt by self-stabbing of the bladder: a case report. J Med Case Rep. 2014;8:391. doi: 10.1186/1752-1947-8-391
  10. Castellani D, Gasparri L, Claudini R, et al. Iatrogenic foreign body in urinary bladder: Holmium laser vs. Ceramic, and the winner is. Int Braz J Urol. 2019;45(4):853. doi: 10.1590/S1677–5538.IBJU.2018.0229
  11. Cardinale M, Scheiwe C, Boubotte-Salmon F, Laitselart P. A rare Foreign Body in the bladder: a surgical dressing as a bladder stone. Med Sainte Trop. 2019;29(2):222–224. doi: 10.1684/mst.2019.0902
  12. Mannan A, Anwar S, Oayyum A, Tasneem RA. Foreign bodies in the urinary bladder and their management: a Pakistani experience. Singapore Med J. 2011;52(1):24–28.
  13. Agarwal M, Aggarwal A, Pandey S, Kumar M. Knotted electric wire in urinary bladder: Can such complex foreign body be retrieved endoscopically! BMJ Case Rep. 2018: bcr2018225353. doi: 10.1136/bcr-2018-225353
  14. Hashmi SH, Khan I. Foreign body in urinary bladder: an unusual presentation. J Ayub Med. Abbottabad. 2015;27(2):494–495.
  15. Nurmuhamedov KN, Radzabov UA. A longtime stay of the foreign body (needle) in the urethra and soft tissues of the perineum in a 10 year boy. Eksperimental’naya i klinicheskaya urologiya. 2013;(2):137–138. (In Russ.)

Supplementary files

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2. Fig. 1. Needles were passed through the soft tissue into the urethra

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3. Fig. 2. A pill-shaped battery is in the urethra

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4. Fig. 3. Rolled up inlaid candle is in the cavity of the bladder

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5. Fig. 4. The Mercury thermometer is in the bladder

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