Endoscopic Management of Foreign Body in Urethra and Urinary Bladder

Abstract

Aims:To analyze endoscopic management of foreign body urinary tract, its outcome and complications. Methods: A retrospective study of 11 cases of foreign body urinary bladder and urethra was performed from Jan, 2001 to June, 2008. Diagnosis was confirmed by X-Ray and ultrasound and removal was done by endoscopic and open surgery. Results: Total numbers of patients were 11, out of which 8 were male and 3 female. Eight patients have foreign body in bladder and 3 in urethra. Lower urinary tract symptoms, hematuria, pyuria and urinary retention were the main symptoms. Endoscopic removal was successful in 9 out of 11 patients.Psychiatric disorder was present in 4 patients while two inserted these for autoerotic stimulation. Urethral stricture was the main complication. Conclusions: Foreign bodies in urinary tract are rare. Radiological evaluation is mandatory to ascertain exact size, shape, site, and type of object. Endoscopic removal is usually successful in expert heads with little complications. A psychiatric evaluation is recommended for self inflicted foreign bodies.