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Knotted electric wire in urinary bladder: Can such complex foreign body be retrieved endoscopically!
Manav Agarwal1, Ajay Aggarwal1, Siddharth Pandey1
1Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Reports
|September 29, 2018
Summary
Foreign bodies in the urethra, like electric wire, require medical intervention. Endoscopic removal using holmium laser offers a minimally invasive solution for managing such urethral foreign bodies.
Area of Science:
- Urology
- Medical Devices
- Minimally Invasive Surgery
Background:
- Foreign bodies in the urinary bladder and urethra are uncommon but present unique clinical challenges.
- Management options range from endoscopic procedures to open surgery, depending on the object and its location.
Observation:
- An 18-year-old male presented with a self-inserted electric wire in the urethra for erotic stimulation.
- The foreign body was successfully retrieved through endoscopic fragmentation.
Findings:
- Holmium laser fragmentation of the urethral electric wire under local anesthesia enabled endoscopic removal.
- This approach avoided the need for open surgical intervention.
Implications:
- Endoscopic management with holmium laser is a viable and effective option for urethral foreign bodies.
- This technique minimizes patient morbidity and recovery time compared to traditional open surgery.
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