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A large bullet in the bladder.

N Halkic1, M Wisard, A Abdelmoumene

  • 1Service de Chirurgie, CHUV, Lausanne. Nermin.Halkic@chuv.hospvd.ch

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|June 16, 2001
PubMed
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Foreign bodies in the bladder require tailored removal to minimize trauma. A novel technique combined transurethral unroofing and laparoscopic removal for a large bladder foreign body, avoiding suprapubic cystostomy.

Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Foreign bodies in the urinary bladder are uncommon but can arise from various sources, including self-insertion, medical procedures (iatrogenic), or migration from adjacent organs.
  • Management strategies for bladder foreign bodies prioritize minimizing trauma to the bladder and urethra, with extraction methods tailored to the object's nature and size.

Observation:

  • A case is presented of a bullet lodged in the bladder, initially asymptomatic for four years before presenting with gross hematuria.
  • The foreign body was large and required an alternative extraction method.

Findings:

  • A combined approach of transurethral unroofing and laparoscopic foreign body removal using a grasper through a suprapubic laparoscopic port was successfully employed.
  • This technique offered an alternative to traditional suprapubic cystostomy for managing large bladder foreign bodies.

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Implications:

  • This minimally invasive approach may be a viable option for select cases of large bladder foreign bodies, potentially reducing patient morbidity.
  • Further research into minimally invasive techniques for bladder foreign body extraction is warranted to optimize patient outcomes.