Unsual Foreign body in urethra

• 03 Jul 2021 10:26:49 PM
• |General Urology

Dear all,

Comments(3)

• 

  Nandakishore Bhat

  04 Jul 2021 07:16:19 AM

  2 more pics of same case

  

• 

  Venugopal P

  14 Jul 2021 09:51:40 AM

  Dear All,

  
  

  Nanda has posted a Foreign Body in the Urethra. 

  
  

  We had an Extensive Discussion when we were with Uroeducation in Yahoo Group on this topic way back in 2010 where I had provided considerable literature on the topic.

  Foreign bodies have been inserted as the result of curiosity, autoerotic stimulation, or medical procedures. The material of the foreign bodies has varied from wire, screw, or ball point pen to animals such as a snake.

  Causes of foreign bodies in lower urinary track include psychological, iatrogenic during urological procedure, traumatic aspect and migration from other organs. In psychological aspect, various circumstances including exotic impulse, mental illness, borderline personality disorder, sexual curiosity, sexual practice while intoxication and so on make self-insertion of foreign bodies in lower urinary tract. Among these, the most common motive for foreign body insertion in the lower urinary tract is sexual or erotic in nature, such as masturbation or other forms of sexual variation or gratification. Various materials such as paraffin, a urethral device, metallic cables, plastic tubes, fish, and snake have been reported as foreign bodies in the lower urinary tract.

  
  

  My good friend Prof. Mohanchandra Suvarna had provided me with a case way back in 2010, which I had posted during my earlier post also. 

  56 yrs old lady presented to Mohan with Dysuria and Intense frequency of urination 8 months duration and difficulty in voiding. She used to get fever low grade on and off relieved with antimicrobials. There was no relevant past history.  The PDF pictures are being sent of US, and Cystoscopy Images. These showed a large calculus in the bladder over a foreign body. The foreign Body in this case was a small wad of Rs 20 notes. (PDF provided). In none of the reported cases, Currency notes have been reported as a cause.

  I am providing Links from Two article published by Ankur Bansal* et al in 2016 and 2019, which will provide you with most informations regarding the various Foreign Objects reported in the literature

  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5083828/pdf/inj-1632524-262.pdf  

  https://link.springer.com/content/pdf/10.1007/s12262-020-02212-z.pdf 

  There is an Interesting case reported by Vezhaventhan and R Jayaram (2008)

  https://print.ispub.com/api/0/ispub-article/7263 (PDF of the article may Open)

  https://ispub.com/IJU/4/2/7263 (PDF available from this link)

  
  

  The Video of the Foreign Body, in this case a Fish has been provided.

  http://www.facebook.com/video/video.php?v=1060241033686 

  
  

  This is worth watching as such a Fish in its complete form has never been reported. 

  Ascaris lumbricoides as a cause for Urinary Retention has been presented by D Singh er al in 2010.

   https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2010;volume=56;issue=3;spage=222;epage=223;aulast=Singh (PDF not Available)

  
  

  PubMed has cited 1236 articles on the subject till date. Most of them are case reports with few having a series.

  I am sure there will be many in our group might have seen unusual Foreign Bodies in the Urinary Bladder and placing it in Uroacademy could be help for all. I remember Anil had posted a Video on this at the previous discussion. I do not know whether he has with him even now.

  
  

  With warm Regards,

  Venu 

  
  

  View DocumentView Document

• 

  Venugopal P

  14 Jul 2021 11:16:53 AM

  Dear All,

  In my reply to Nanda’s post, I had provided few references of importance as regards Foreign Bodies in Bladder. As I had problems with posting the reply in Uroacademy, I had to request Anil to do so. I have given an attachment of MohanChandra Suvarna’s case which is available for all to see. I am placing the link the article from Ankur Bansal which is not opening but this article has detailed most of the Foreign bodies seen in the bladder’

  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5083828/pdf/inj-1632524-262.pdf

  Another very unusual foreign body seen in the Bladder has been published by  Vezhaventahn and Jayaram which is worth reading.

  https://print.ispub.com/api/0/ispub-article/7263

  The video depicting the Foreign Body is shown in the Link Provided.

  http://www.facebook.com/video/video.php?v=1060241033686  

  I am sure these additional informations provided will help in understanding regarding Foreign bodies in Bladder better.

  Venu