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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR Table of Contents   
Year : 2009  |  Volume : 20  |  Issue : 2  |  Page : 293-294
Successful removal of a foreign body from the urethra


Urology Department, Yosef Al-Azmma Military Hospital, P.O. Box 125, Jaramana, Damascus, Syria

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How to cite this article:
Jaber S. Successful removal of a foreign body from the urethra. Saudi J Kidney Dis Transpl 2009;20:293-4

How to cite this URL:
Jaber S. Successful removal of a foreign body from the urethra. Saudi J Kidney Dis Transpl [serial online] 2009 [cited 2019 Jul 18];20:293-4. Available from: http://www.sjkdt.org/text.asp?2009/20/2/293/45585
To the Editor,

The finding of a needle in the urethra is exceptionally rare. We report on a 13-year-old boy who presented with perineal discomfort of more than two-years duration associated with urinary frequency and dysuria. He was initially treated with antibiotics and antispasmodics for urinary tract infection and discomfort. Clinical examination revealed tenderness in the peri­neum. Urinalysis performed on several occa­sions showed microscopic hematuria and ste­rile urine. Plain X-ray of the abdomen showed a foreign body (knitting needle) in the peri­neum [Figure 1]. The parents as well as the child did not remember any history of acci­dental needle injury to the child. Ultrasound scan of the urinary system was normal. A retrograde urethrogram was done to determine the exact location of the needle; the needle was shown to be fixed in the bulbous urethra longitudinally while both ends were fixed in the corpus spongiosum. The needle-hole was proximally situated while the needle tip was distally fixed [Figure 2].

The needle was extracted with a urethroscope under general anesthesia. The procedure was very delicate as a foreign body forceps was used to grasp the needle body which was pushed proximally in order to free the distal part (tip); this helped in making it visible to be grasped and pulled out. There was no need for a urethral catheter after the needle removal [Figure 3]. The post-operative course was un­eventful and he was discharged home after 24 hours. The child is on regular follow-up for about four years on annual basis. No further symptoms and no complications or consequen­ces such as urethral stricture has occurred.

Numerous cases of intra-urethral foreign bo­dies of different varieties and unusual nature have been reported. [1],[2],[3],[4],[5],[6],[7],[8] Some mentally retarded patients may insert foreign bodies including metals, cables, etc. Our case suggests that physicians should keep in mind the possibility of foreign bodies in the urinary system in any patient with unexplained symptoms.

 
   References Top

1.Rahman NU, Elliott SP, McAninch JW. Self­inflicted male urethral foreign body insertion: Endoscopic management and complications. BJU Int 2004;94(7):1051-3.  Back to cited text no. 1    
2.Van Ophoven A, DeKernion JB. Clinical management of foreign bodies of the genito­urinary tract. J Urol 2000;164(2):274-87.  Back to cited text no. 2    
3.Garcia Riestra V, Vareal Salgado M, Fernandez Garcia L. Urethral foreign bodies. Apropos 2 cases. Arch Esp Urol 1999;52(1):74-6.  Back to cited text no. 3    
4.Gonzalgo ML, Chan DY. Endoscopic basket extraction of a urethral foreign body. Urology 2003;62(2):352.  Back to cited text no. 4    
5.Costa G, Di Tonno F, Capodieci S, Laurini L, Casagrande R, Lavelli D. Self-introduction of foreign bodies into the urethra: A multidisciplinary problem. Int Urol Nephrol 1993;25(1):77-81.  Back to cited text no. 5    
6.Osca JM, Broseta E, Server G, Ruiz JL, Gallego J, Jimenez-Cruz JF. Unusual foreign bodies in the urethra and bladder. Br J Urol 1991;68(5):510-2.  Back to cited text no. 6    
7.Ali Khan S, Kaiser CW, Dailey B, Krane R. Unusual foreign body in the urethra. Urol Int 1984;39(3):184-6.  Back to cited text no. 7    
8.Barzilai M, Cohen I, Stein A. Sonographic detection of a foreign body in the urethra and urinary bladder. Urol Int 2000;64(3):178-80.  Back to cited text no. 8    

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Correspondence Address:
Salim Jaber
Urology Department, Yosef Al-Azmma Military Hospital, P.O. Box 125, Jaramana, Damascus
Syria
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PMID: 19237825

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  [Figure 1], [Figure 2], [Figure 3]



 

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