Multiple lower urinary tract calculi induced by foreign bodies insertion: A case report
Haykal Hermatyar Fatahajjad1, Ricky Agave Ompusunggu2, Tetuka Bagus Laksita1
1Department of Urology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General-Academic Hospital, Surabaya, East Java, Indonesia.
Radiology Case Reports
|April 8, 2024
Summary
Foreign bodies in the urinary tract can cause serious issues like obstructive renal failure. Prompt surgical removal and addressing underlying psychiatric conditions are crucial for patient recovery.
Area of Science:
- Urology
- Nephrology
- Psychiatry
Background:
- Foreign bodies in the lower urinary tract present diverse etiologies and clinical manifestations.
- This condition predominantly affects young males, with symptoms ranging from asymptomatic to acute obstructive renal failure.
Observation:
- A 48-year-old male presented with lower urinary tract symptoms and obstructive renal failure.
- Imaging revealed multiple foreign bodies in the pelvic cavity, indicative of vesical and urethral lithiasis.
Findings:
- Urethrocystoscopy successfully removed an 8-cm needle with a rubber band and a 10-cm encrusted cable forming a urethral stone.
- Vesicolithotomy extracted a 5 × 3 cm bladder stone with a SIM card inserter at its core.
- The patient's condition improved post-operatively.
Implications:
- Surgical intervention, including endourology and potentially open surgery, is effective for managing urinary tract foreign bodies.
- Identifying and treating associated psychiatric disorders, such as adjustment disorder, is essential for comprehensive long-term patient care.
