Management of retained bullet fragments from posterior urethra after gunshot wound: a case report

Retained bullet fragments in the genitourinary tract following gunshot wound is rare and require removal.

We present the case of a retained bullet in the prostate following a gunshot wound to the pelvis, which was endoscopically removed. A urethral catheter and suprapubic tube were placed. The patient then had migration of a second bullet fragment into the prostatic urethra six weeks later, requiring open removal.

This case shows that several approaches can be considered to remove retained bullet fragments from the urinary tract. Furthermore, access to the bladder via a suprapubic tube can be beneficial.