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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
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Iatrogenic foreign body in the urinary bladder.

Safdar Shah1, Farhan Qureshi1, Sain Rakhio1

  • 1Department of Urology, Sheikh Zayed Medical College Hospital, Rahim Yar Khan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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Summary
This summary is machine-generated.

A metallic resectoscope cutting loop piece was found in a patient's urinary bladder, causing pain and urinary retention. The foreign body was successfully removed using cystourethroscopy.

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Area of Science:

  • Urology
  • Medical Device Technology

Background:

  • Urinary bladder foreign bodies can cause significant lower urinary tract symptoms.
  • Surgical instruments can inadvertently fracture during procedures, posing risks.

Observation:

  • A 60-year-old male presented with suprapubic pain, dysuria, perineal pain, and acute urinary retention.
  • Abdominal ultrasound and pelvic X-ray revealed a metallic needle within the urinary bladder.

Findings:

  • The foreign body was identified as a fractured metallic piece from a resectoscope cutting loop.
  • The metallic fragment was successfully retrieved via cystourethroscopy.

Implications:

  • Highlights the importance of careful surgical technique during transurethral resections.
  • Emphasizes the utility of imaging and cystourethroscopy in diagnosing and managing intravesical foreign bodies.