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2018 | 14 | 4 | 431–434

Article title

Self-introduction of urethral foreign bodies in adolescent boys: a rising problem

Content

Title variants

PL
Wprowadzanie ciał obcych do cewki moczowej przez nastoletnich chłopców: narastający problem

Languages of publication

EN

Abstracts

EN
There has been an increase in reports of self-introduced urethrovesical foreign bodies, but they are still considered to be rare in children. A special type of foreign bodies are magnetic bodies inserted into the lower urinary tract – a phenomenon which clearly corresponds with an increase in paediatric magnet-related foreign bodies insertion requiring emergency care. We present two adolescent boys with voiding difficulty as a leading symptom following self-introduction of numerous magnetic beads (in the first case) and eyebrow tweezers (in the second case) treated during the last 3 months. Magnetic beads had to be removed operatively, eyebrow tweezers were removed from urethra manually. Our observations confirm that in the differential diagnosis of lower urinary tract symptoms especially in adolescents, the presence of foreign bodies should be taken into consideration.
PL
W piśmiennictwie wzrasta liczba opisywanych przypadków wprowadzania ciał obcych do układu moczowego, jakkolwiek zjawisko to nadal oceniane jest jako rzadko występujące u dzieci. Szczególny typ przedmiotów wprowadzanych do cewki moczowej, również w populacji dziecięcej, stanowią magnetyczne ciała obce, których obecność wymaga nagłej interwencji. W artykule przedstawiono dwa przypadki nastoletnich chłopców leczonych z powodu narastających zaburzeń oddawania moczu wtórnych do wprowadzenia ciał obcych do cewki moczowej – licznych kulek magnetycznych u pierwszego pacjenta i pęsety do brwi u drugiego. Kulki usunięto operacyjnie, pęsetę udało się usunąć manualnie. Opisane przypadki potwierdzają, że w diagnostyce różnicowej objawów ze strony dolnych dróg moczowych powinno się uwzględniać obecność ciała obcego wprowadzonego do cewki lub pęcherza.

Discipline

Year

Volume

14

Issue

4

Pages

431–434

Physical description

Contributors

  • Department of Paediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland
author
  • Department of Paediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland
  • Students’ Research Circle for Paediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland
  • Department of Paediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland

References

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  • Rafique M: Intravesical foreign bodies: review and current management strategies. Urol J 2008; 5: 223–231.
  • Rahman NU, Elliott SP, McAninch JW: Self-inflicted male urethral foreign body insertion: endoscopic management and complications. BJU Int 2004; 94: 1051–1053.
  • Palmer CJ, Houlihan M, Psutka SP et al.: Urethral foreign bodies: clinical presentation and management. Urology 2016; 97: 257–260.
  • Fath Elbab TK, Abdelhamid AM, Galal EM et al.: Management of intravesical self-inflicted sharp objects in children: 10-year single-center experience. J Pediatr Urol 2016; 12: 97.e1–97.e5.
  • Moskalenko VZ, Litovka VK, Zhurilo IP et al.: [Foreign body of bladder in children] (article in Russian). Klin Khir 2002; (4): 43–45.
  • Ceran C, Uguralp S: Self-inflicted urethrovesical foreign bodies in children. Case Rep Urol 2012; 2012: 134358.
  • Mujagić S, Zulić S, Jagodić S: Foreign body in the urinary bladder of 14-year-old boy: case report and review of literature. Paediatrics Today 2015; 11: 54–58.
  • Prasad Ray R, Ghosh B, Pal DK: Urethral foreign body in an adolescent boy: report of two rare cases and review of literature. Int J Adolesc Med Health 2015; 27: 463–465.
  • Rahman N, Featherstone NC, DeCaluwe D: Spider-man, magnets, and urethral-cutaneous fistula. Urology 2010; 76: 162–163.
  • Ellimoottil C, Faasse MA, Lindgren BW: Endoscopic management of transurethrally inserted magnetic beads. Urology 2013: 81: e13–e14.
  • Pieretti RV: High-strength neodymium magnetic beads: a rare foreign body in the bladder of an adolescent. Urol Case Rep 2014; 2: 145–146.
  • Chung PH, Traylor J, Baker LA: Urethral foreign body: removal of degraded magnetic spheres using Hartmann ear forceps. Urology 2014; 84: 1214–1216.
  • Zeng SX, Li HZ, Zhang ZS et al.: Removal of numerous vesical magnetic beads with a self-made magnetic sheath. J Sex Med 2015; 12: 567–571.
  • Robey TE, Kaimakliotis HZ, Hittelman AB et al.: An unusual destination for magnetic foreign bodies. Ped Emerg Care 2014; 30: 643–645.
  • Silverman JA, Brown JC, Willis MM et al.: Increase in pediatric magnet-related foreign bodies requiring emergency care. Ann Emerg Med 2013; 62: 604–608.e1.
  • Tavarez MM, Saladino RA, Gaines BA et al.: Prevalence, clinical features and management of pediatric magnetic foreign body ingestions. J Emerg Med 2013; 44: 261–268.
  • Alfonzo MJ, Baum CR: Magnetic foreign body ingestions. Pediatr Emerg Care 2016; 32: 698–702.
  • Levine MA, Evans H: Open removal as a first-line treatment of magnetic intravesical foreign bodies. Can Urol Assoc J 2013; 7: E25–E28.

Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-89b9e69b-cc60-4c18-8499-e9b24b8e45d7
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