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      Surgical Removal of an Unrecognized Tapestry Needle from the Urethra

      case-report

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          Abstract

          The variety of intraurethral foreign bodies has been reported in literature. Most of them tend to be self-inserted because of sexual or erotic reasons. We report a 23-year old male patient who had tapestry needle into his urethra, which was not self-inserted. The patient was referred to our institution with dysuria and hematuria. There was microscopic hematuria in urine analysis and no pathologic sign in sonography. The needle was detected in proximal urethra in pelvic X-ray and endoscopic visualization revealed that it was trapped in mucosa. The needle was successfully removed by open surgery. Main treatment for the removal of urethral foreign bodies is usually endoscopic but open surgery may be required in some cases especially cutting foreign bodies.

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          Successful removal of a telephone cable, a foreign body through the urethra into the bladder: a case report

          Ravi K Trehan, Athar Haroon, Shaukat Memon … (2007)
          The variety of foreign bodies inserted into or externally attached to the genitourinary tract defies imagination and includes all types of objects. The frequency of such cases renders these an important addition to the diseases of the genitourinary organs. The most common motive associated with the insertion of foreign bodies into the genitourinary tract is sexual or erotic in nature. In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders. We report a case of insertion of telephone cable wire into the urethra. Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.
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            An unusual urethral foreign body☆

            Krishanth Naidu, Amanda SJ Chung, Maurice Mulcahy (2013)
            INTRODUCTION Lower urinary tract foreign body insertions have a low incidence. The motives for insertion of a variety of objects are difficult to comprehend. This case warrants discussion given the great management challenge faced by the oddity and infrequency with which a fork is encountered in the penile urethra. PRESENTATION OF CASE A 70-year-old man presents to the Emergency Department with a bleeding urethral meatus following self-insertion of a fork into the urethra to achieve sexual gratification. Multiple retrieval methods were contemplated with success achieved via forceps traction and copious lubrication. DISCUSSION The presentation of urethral foreign bodies can vary widely, as can the type of object inserted. The most prevalent motivation for self-insertion of urethral foreign bodies is autoerotism. Motivations ought to be explored in light of possible underlying psychological or psychiatric conditions. The most appropriate surgical extraction technique can be guided by physical examination and imaging. Endoscopic removal is often successful, depending on the object's physical attributes and morphology. It is important to arrange appropriate follow-up, as late complications can occur such as urethral strictures. CONCLUSION Psychological and surgical arms encompass the management plan. Foreign body retrieval is determined by its physical attributes and morphology with the aim to minimise urothelial trauma and preserve erectile function. Essentially, endourological extraction serves the primary means of retrieval. Cystourethoscopy is important to diagnose urothelial injuries and to ensure complete removal of foreign bodies following extraction.
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              Multiple foreign bodies in the anterior and posterior urethra.

              Troy Sukkarieh, Marc Smaldone, Bharat Shah (2015)
              Foreign bodies of the urethra and bladder are seen with iatrogenic injury, self-insertion, and rarely migration from adjacent sites. Treatment is focused on foreign body extraction, diagnosing complications, and avoiding compromise of erectile function. With advances in endourology, the majority of cases can now be managed endoscopically. We present a case of a man with multiple foreign bodies located both above and below the urogenital diaphragm. Advancing the posterior objects intravesically and extracting with a stone basket accomplished successful removal.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Pract
                Journal ID (iso-abbrev): Clin Pract
                Journal ID (publisher-id): CP
                Title: Clinics and Practice
                Publisher: PAGEPress Publications, Pavia, Italy
                ISSN (Print): 2039-7275
                ISSN (Electronic): 2039-7283
                Publication date (Electronic): 23 June 2015
                Publication date Collection: 24 April 2015
                Volume: 5
                Issue: 2
                Electronic Location Identifier: 740
                Affiliations
                [1 ]Department of Urology, Bitlis State Hospital , Bitlis
                [2 ]Department of Urology, Bagcilar Training and Research Hospital , Istanbul, Turkey
                Author notes
                Department of Urology, Bitlis State Hospital, Besminare Mahallesi 13000, Besminare/Bitlis, Turkey. +90.434.246.84.20, +90.434.246.84.24. dr_mustafazafertemiz@ 123456hotmail.com

                Contributions: MZT, study concept and design; EK, manuscript supervision and preparation; MZT, KT, patient management, data organizing and reporting; MZT, EY, literature search; EY, EK, manuscript final version reworking.

                Confrence presentation: the paper has already been presented in 23 th National Turkish Urology Congress, 16-19 October 2014, Antalya, Turkey.

                Conflict of interest: the authors declare no potential conflict of interest.

                Article
                DOI: 10.4081/cp.2015.740
                PMC ID: 4500875
                SO-VID: 9a53b3b4-1334-4900-b03a-b60b44cf7f23
                Copyright © ©Copyright M.Z. Temiz et al.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 05 December 2014
                Date revision received : 24 February 2014
                Date accepted : 16 April 2014
                Page count
                Figures: 3, Tables: 0, Equations: 0, References: 11, Pages: 3
                Categories
                Subject: Case Report

                Keywords: urethra,foreign body,tapestry needle
                Data availability:
                Keywords: urethra, foreign body, tapestry needle

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