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Leech in urinary bladder causing hematuria.

Shadrul Alam¹, Mrigen Kumar Das Choudhary, Kabirul Islam

¹Department of Paediatric Surgery, Sylhet MAG Osmani Medical College, Bangladesh. shadrul@hotmail.com

Journal of Pediatric Urology

|July 18, 2008

Summary

This summary is machine-generated.

Normal saline irrigation effectively manages bladder hematuria from urethral leech entry in boys. This simple, safe, and inexpensive method ensures leech expulsion and resolves bleeding, preventing recurrence.

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Area of Science:

Pediatric Surgery
Urology

Background:

Accidental leech entry into the urinary bladder via the urethra can cause significant hematuria in pediatric patients.
Traditional management methods may be invasive or less effective.

Purpose of the Study:

To evaluate the efficacy of normal saline irrigation in managing hematuria resulting from urethral leech infestation of the urinary bladder.

Main Methods:

An intervention study involved 43 boys with bladder leeches causing hematuria.
Patients received normal saline (50ml) infused into the bladder via a Foley catheter, clamped for 3 hours.

Main Results:

All leeches were expelled spontaneously within 2-24 hours after catheter removal.
Hematuria resolved within 6-24 hours in all cases.
No recurrent hematuria was observed during a 2-week follow-up.

Conclusions:

Catheterization and normal saline bladder irrigation offer a simple, safe, and cost-effective treatment for leech-induced hematuria.
This method facilitates leech expulsion and controls bleeding effectively in pediatric patients.