Curious foreign body in the bladder of an adolescent


      We report the case of a 14 year old boy who presented at our emergency department because of increasing alguria and dysuria one year after inserting a wire cable into his bladder for autoerotic purposes. Endoscopic transurethral removal of the foreign body proved to be impossible because the cable was of a stiff consistency and was trapped in scar tissue at the bladder neck. The foreign body therefore had to be extracted using a Pfannenstiel approach. Urethrocystoscopy and uroflow performed one week later were normal. Filiform intravesical foreign bodies can create particular challenges. Adequate diagnostic imaging, awareness of possible complications, and knowledge of the different available techniques are essential in planning safe extraction.

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        • Mannan A.
        • Anwar S.
        • Qayyum A.
        • et al.
        Foreign bodies in the urinary bladder and their management: a Pakistani experience.
        Singapore Med J. 2011; 52: 24-28
        • Rafique M.
        Intravesical foreign bodies: review and current management strategies.
        Urol J. 2008; 5: 223-231
        • Pal D.K.
        • Bag A.K.
        Intravesical wire as foreign body in urinary bladder.
        Int Braz J Urol. 2005; 31: 472-474
        • Mondaini N.
        • Bartoletti R.
        Images in clinical medicine. Intravesical foreign body.
        N Engl J Med. 2007; 357: 588
        • 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: 391-392
        • Imai A.
        • Suzuki Y.
        • Hashimoto Y.
        • et al.
        Adv Urol. 2011; 2011: 323197
        • Ingber M.S.
        • Stein R.J.
        • Rackley R.R.
        • et al.
        Single-port transvesical excision of foreign body in the bladder.
        Urology. 2009; 74: 1347-1350
        • Ejstrud P.
        • Poulsen J.
        Laparoscopic removal of an electric wire from the bladder.
        Br J Urol. 1997; 80: 338
        • Ko Y.H.
        • Kang S.G.
        • Kang S.H.
        • et al.
        Removal of long, complex foreign bodies from bladder using single laparoscopic port under pneumovesicum.
        J Laparoendosc Adv Surg Tech A. 2010; 20: 639-642
        • Bedke J.
        • Kruck S.
        • Schilling D.
        • et al.
        Laser fragmentation of foreign bodies in the urinary tract: an in vitro study and clinical application.
        World J Urol. 2010; 28: 177-180