B31. Foreign bodies in the urinary tract

From greek.doctor
  • 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