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      Unusual intravesical foreign bodies: a report of two cases

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          Abstract

          The introduction of a foreign body into the urethra is an exceptionally rare occurrence. It is often secondary, either to erotic curiosity or to psychiatric disorders. The symptomatology is multiple and the diagnosis is aided by radiologic imaging. The extraction is most often done by endoscopic. The management of these patients must be done systematically and will need psychiatric assessment. We report the case of two patients who inserted a foreign body into their urinary bladder. One was 22-year-old and the second was 20-year-old and all with no history of psychiatric disorders. The first accidentally inserted a pencil into the urethra while trying to flatten a vulvar papule. The second inserted a piece of broom through playful games. The foreign bodies were extracted endoscopically in both cases under rachianesthesia. The postoperative course was uneventful and both patients were referred to a psychiatric clinic for evaluation after discharge.

          Most cited references14

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          Intravesical foreign bodies: a case report and a review of the literature

          Aim We report a case of intravesical polyvinyl-coated electric wire in the urinary bladder. Case report A 34-year-old man presented in our clinic with irritative lower urinary tract symptoms. Three weeks earlier he had seen and felt a wire in his urethra of which he was unaware of the origin. Radiologic evaluation revealed an electric wire completely coiled up in the urinary bladder. It was removed through a suprapubic cystotomy. Discussion Patients are usually too ashamed to admit the cause of an intravesical foreign body, which is often sexual or erotic in origin. Radiologic evaluation usually reveals the nature and size of the foreign body in the bladder of patients evaluated for recurrent urinary tract infection. Open surgery or an endoscopic approach may be used for their extraction.
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            Intravesical foreign body: case report.

            Foreign bodies of the urinary bladder may occur by self insertion or migration from the neighbouring organs. All the foreign bodies when left for long act as a nidus for calculus formation. The patient usually presents with dysuria, intermittent urinary tract infection or suprapubic pain. Here we report two cases of vesical foreign body which was removed by the cystoscopy.
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              Unusual intravesical foreign body management: the Casablanca experience

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                Author and article information

                Contributors
                Journal
                Pan Afr Med J
                Pan Afr Med J
                PAMJ
                The Pan African Medical Journal
                The African Field Epidemiology Network
                1937-8688
                03 August 2023
                2023
                : 45
                : 148
                Affiliations
                [1 ]Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso,
                [2 ]Division of Surgery, Regional Hospital, Dori, Burkina Faso,
                [3 ]Division of Surgery, Federal Medical Center, PMB 02, Nguru, Yobe State, Nigeria
                Author notes
                [& ] Corresponding author: Abdoul-Karim Pare, Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso. boupare@ 123456yahoo.fr
                Article
                PAMJ-45-148
                10.11604/pamj.2023.45.148.39227
                10559154
                37808431
                fb5800b2-2121-4067-abb9-6f8e56645ec8
                Copyright: Abdoul-Karim Pare et al.

                The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 February 2023
                : 30 July 2023
                Categories
                Case Report

                Medicine
                foreign body,urethra,endoscopic extraction,case report
                Medicine
                foreign body, urethra, endoscopic extraction, case report

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