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Related Concept Videos

Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

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The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Mouse Bladder Wall Injection
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Foreign body in the bladder: A case report.

Kota Shimokihara1, Takashi Kawahara2, Yutaro Hayashi1

  • 1Departments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.

International Journal of Surgery Case Reports
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Summary

Foreign bodies in the bladder can be challenging to remove. Severely calcified bladder foreign bodies may require open surgical incision for successful retrieval.

Keywords:
BladderForeign bodyHigher bladder incision

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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Foreign bodies in the urinary bladder are uncommon occurrences.
  • Transurethral removal is the standard approach for bladder foreign bodies.

Purpose of the Study:

  • To report a case of a calcified foreign body in the bladder.
  • To describe the successful removal of a challenging bladder foreign body using an open surgical technique.

Main Methods:

  • A 57-year-old male patient presented with a bladder foreign body.
  • Preoperative assessment revealed severe calcification, precluding transurethral removal.
  • A higher bladder incision approach was utilized for surgical extraction.

Main Results:

  • The calcified foreign body was successfully removed via open bladder incision.
  • The patient's condition was managed without complications.

Conclusions:

  • Severely calcified bladder foreign bodies pose a significant challenge for transurethral retrieval.
  • Open surgical intervention, such as a bladder incision, may be necessary for complex cases.
  • Thorough preoperative evaluation is crucial to identify foreign body characteristics and prevent iatrogenic injury.