Foreign bodies in the urinary tract

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Revision as of 15:23, 5 October 2024 by Nikolas (talk | contribs) (Created page with "<section begin="urology" />* Most foreign bodies find their way into the urethra or bladder * Etiology ** Sexual curiosity ** Iatrogenic * Clinical features ** Obstruction ** Local pain ** UTI * Diagnosis ** Anamnesis ** KUB x-ray – if the object is radiopaque ** CT – if object is radiolucent * Treatment ** Endoscopic extraction through urethra *** First choice ** Extraction through suprapubic cystotomy *** Objects in posterior urethra can be relocated to the bladder...")
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  • Most foreign bodies find their way into the urethra or bladder
  • Etiology
    • Sexual curiosity
    • Iatrogenic
  • Clinical features
    • Obstruction
    • Local pain
    • UTI
  • Diagnosis
    • Anamnesis
    • KUB x-ray – if the object is radiopaque
    • CT – if object is radiolucent
  • Treatment
    • Endoscopic extraction through urethra
      • First choice
    • Extraction through suprapubic cystotomy
      • Objects in posterior urethra can be relocated to the bladder by endoscopy and extracted from there
    • Open surgery
      • For objects which are difficult to remove
    • Postoperative
      • Foley catheter
        • To decrease risk for urethral stricture
      • Cystourethroscopy
        • To diagnose urothelial injuries