"BEYOND THE URETHRA: A CASE SERIES ON INTRAVESICAL FOREIGN BODIES AND THEIR SURGICAL MANAGEMENT"
Main Article Content
Keywords
foreign body, DJ stent , self-inserted object, endoscopic management, iatrogenic injury, bladder calculi, cystoscopy, radiolucent foreign bodies, urethral stricture, UTIs, pyelonephritis, schizophrenia, psychiatric evaluation, forgotten stents, and urinary bladder pathology.
Abstract
Background: Intravesical foreign bodies (FBs) are an uncommon but clinically significant urological concern. Usual modes of entry of foreign bodies into the bladder include self-insertion, migration, or due to iatrogenic and penetrating injuries. Their presence can lead to a spectrum of symptoms and complications depending on the nature, size, and duration of the retained object. Lower urinary tract symptoms(LUTS) is the most common mode of presentation of such patients. Early diagnosis and minimally invasive extraction techniques contribute to favourable outcomes in patients with foreign bodies in the urinary bladder. Radiolucent foreign bodies pose a great challenge to urologists.
Objective: To present a case series detailing four varied presentations of bladder foreign bodies and highlight diagnostic and surgical management strategies. Here we report a case series of intravesical foreign bodies presented to our hospital for evaluation and management.
Methods: A retrospective case series of four patients who presented with intravesical foreign bodies was analyzed. Demographics, presentation, imaging, management, and outcomes were reviewed.
Results: All four patients underwent successful endoscopic or combined procedures with minimal morbidity. Two cases involved forgotten DJ stents, one was a self-inserted twig, and another was hair likely due to catheter-related contamination. All were managed with either cystoscopic removal or combined approaches such as PCNL.
Conclusion: Foreign bodies in the urinary bladder pose diagnostic and therapeutic challenges to the surgeon. Early cystoscopic evaluation and minimally invasive retrieval are essential to prevent complications. Awareness and timely follow-up are key, particularly for iatrogenic cases.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr Prashant Rishi
Senior Consultant, Department of Urology & General Surgery, Jagjivan Ram Hospital, Mumbai, India
Dr Patil Vaibhav Murlidharrao
Resident, Department of General Surgery, Jagjivan Ram Hospital, Mumbai, India.