不尋常的尿道異物
蕭惟中1,陳順郎1, 2,高育琳1, 2,陳文榮1, 謝佐宜1, 王紹全1
1中山醫學大學附設醫院 泌尿科 2中山醫學大學醫學系
Unusual urethral foreign bodies
Wei-Chung Hsiao1, Sung-Lang Chen1, 2, Yu-Lin Kao1, 2, Wen-Jung Chen1,
Tzuo-Yi Hsieh1, Shao-Chuan Wang1
1Division of Urology, Chung Shan Medical University Hospital, Taichung, Taiwan
2Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
Introduction:
Urethral foreign bodies are uncommon clinical conditions. Most of the foreign bodies are self-introduced under the circumstances of autoerotic impulses, sexual curiosity, psychiatric illness, or rarely migration from adjacent organs. Retrieval of the urethral foreign body is case-specific due to wide variety of foreign bodies.
Case report:
A 75-year-old man was sent to emergency department after a motorcycle accident. Serial examinations including pelvic radiography and computed tomography discovered 5 fishhooks within the urethra unexpectedly. Ingrowth into urethral mucosa of the fishhooks with related inflammatory process was noted. Due to complexity of the fishhook position and pelvic fracture condition, cystourethroscopic retrieval of the foreign bodies was performed successfully in a two-step manner.
Discussion:
Self-inflicted urethral foreign bodies have a very low incidence. Major complications of urethral foreign bodies include trauma, infection, urine retention, and urethral stricture. Most of the foreign bodies of lower urinary tract can be treated with endourological modalities. The key point of urethral foreign body extraction relies on its physical attributes and morphology with the purpose of minimal urothelial injury.
Conclusion:
The urethral foreign bodies could be removed successfully by cystourethroscopic procedure without any complication, even in the presentation of mucosal ingrowth.