Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience_West China Medical Journal

Authors：

 LIULing , CHENYong-ji , HEQi-ying ,  YANGLu

Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANGLu, Email: 14652018@qq.com

Keywords：

Lower urinary tract; Penis; Foreign body; Diagnosis and treatment

DOI：

10.7507/1002-0179.20150012

Video：

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Objective To explore the clinical treatment measures and etiology analysis of lower urinary tract and penile foreign bodies. Methods We retrospectively analyzed the etiology and diagnosis of 48 cases of lower urinary tract and penile foreign body in the Department of Urology of our hospital between 1993 and 2012. Results Nine bladder foreign bodies were removed successfully by using cystoscopy; nine were removed through suprapubic cystotomy; urethral foreign bodies in 10 patients were successfully taken out by urethrascope; five foreign bodies were extracted by hand and forceps; rubber bands in 2 patients were cut off under local anesthesia; fretsaw was used to cut through the nested rings in 7 patients; dental drill was used to cut nesting materials in 3 patients; and 3 patients underwent penis skin circumcision overturn stripping ring extraction. No complications after urethral foreign body extraction occurred. Conclusion The lower urinary tract and penile foreign bodies are easy to diagnose, but patients often conceal the etiology, so the natural history collection is very important in the diagnosis, and doctors should take appropriate methods to remove the foreign body after the diagnosis is confirmed.

Citation： LIULing, CHENYong-ji, HEQi-ying, YANGLu. Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience. West China Medical Journal, 2015, 30(1): 45-17. doi: 10.7507/1002-0179.20150012 Copy

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2.	Gauthier M. Observation d'un étranglemant des testicules et de la verge, occasionné par le passage d'un briquette[J]. J Med Chir Pharmacol (Paris), 1755, 3:358.
3.	Schuster G, Stockmal P. Genital incarceration with metal rings:their safe removal[J]. Tech Urol, 1999, 5(2):116-118.
4.	Klein FA, Smith MJ. Treatment of incarceration of the penis by tempered steel bushings[J]. J Emerg Med, 1987, 5(1):5-8.
5.	Kato Y, Kaneko S, Iguchi M, et al. Strangulation of the penis by a ring[J]. Hinyokika Kiyo, 1987, 33(10):1672-1675.
6.	Detweiler MB, Perkins D. Penile incarceration:a wrapping technique[J]. J Emerg Med, 2001, 20(2):159-161.
7.	范志强, 李启忠, 丁德刚, 等.膀胱及尿道异物分析[J].医药论坛杂志, 2007, 28(3):55-56.
8.	李桂彩, 王春光.经直肠及经体表超声诊断男性尿道异物1例[J].中国超声诊断杂志, 2002, 3(9):693.
9.	黄秀艳, 李永安.超声诊断在膀胱疾病中的应用价值[J].航空航天医学杂志, 2011, 22(8):1006-1007.
10.	Trivedi S, Attam A, Kerketa A, et al. Penile incarceration with metallic foreign bodies:management and review of literature[J]. Curr Urol, 2013, 7(1):45-50.
11.	Recasens Guinjuan JR, Flores González JJ, Samsó Piñol JM, et al. Vesico-urethral lithiasis secondary to foreign body[J]. Actas Urol Esp, 2002, 26(2):136-138.
12.	Sukkarieh T, Smaldone M, Shah B. Multiple foreign bodies in the anterior and posterior urethra[J]. Int Braz J Urol, 2005, 30(3):219-220.
13.	Van Ophoven A, Dekernion JB. Clinical management of foreign bodies of the genitourinary tract[J]. J Urol, 2000, 164(2):274-287.
14.	Singh B, Kim H, Wax SH. Strangulation of glans penis by hair[J]. Urology, 1978, 11(2):170-172.
15.	Kavoussi LR, Novick AC, Partin AW, et al. Campbell-Walsh urology[M]. 10th ed. Philadelphia:Saunders Elsevier, 2012:56-62.
16.	关有良, 张春阳, 顾秀平, 等. 6例尿道异物(缝衣针)徒手取出法报告[J].辽宁医学院学报, 2007, 28(1):67.
17.	陈长勇, 蒋观尧.经尿道镜钳取法治疗膀胱异物的体会(附3例报告)[J].青海医药杂志, 1986(2):43.
18.	宋伟, 赵勇, 金讯波.阴茎异物嵌套处理(附3例报道)[J].泌尿外科杂志:电子版, 2012, 4(2):31-33.
19.	张循亮, 孙博泉, 曹静.快速切割法治疗阴茎异物嵌顿10例报告[J].山东医药, 2004, 44(15):69.
20.	江山, 许海斌, 于德新.金属异物嵌顿所致阴茎绞窄的治疗[J].临床泌尿外科杂志, 2002, 17(9):497.
21.	甘卫东, 郭宏骞, 曾令奇, 等.阴茎异物嵌套的处理和性心理分析[J].中华男科学杂志, 2011, 17(6):535-537.

1. 樊文广, 王春森, 李翀, 等.下尿路异物的诊断和治疗[J].内蒙古医学院学报, 2009, 31(3):295-296, 298.
2. Gauthier M. Observation d'un étranglemant des testicules et de la verge, occasionné par le passage d'un briquette[J]. J Med Chir Pharmacol (Paris), 1755, 3:358.
3. Schuster G, Stockmal P. Genital incarceration with metal rings:their safe removal[J]. Tech Urol, 1999, 5(2):116-118.
4. Klein FA, Smith MJ. Treatment of incarceration of the penis by tempered steel bushings[J]. J Emerg Med, 1987, 5(1):5-8.
5. Kato Y, Kaneko S, Iguchi M, et al. Strangulation of the penis by a ring[J]. Hinyokika Kiyo, 1987, 33(10):1672-1675.
6. Detweiler MB, Perkins D. Penile incarceration:a wrapping technique[J]. J Emerg Med, 2001, 20(2):159-161.
7. 范志强, 李启忠, 丁德刚, 等.膀胱及尿道异物分析[J].医药论坛杂志, 2007, 28(3):55-56.
8. 李桂彩, 王春光.经直肠及经体表超声诊断男性尿道异物1例[J].中国超声诊断杂志, 2002, 3(9):693.
9. 黄秀艳, 李永安.超声诊断在膀胱疾病中的应用价值[J].航空航天医学杂志, 2011, 22(8):1006-1007.
10. Trivedi S, Attam A, Kerketa A, et al. Penile incarceration with metallic foreign bodies:management and review of literature[J]. Curr Urol, 2013, 7(1):45-50.
11. Recasens Guinjuan JR, Flores González JJ, Samsó Piñol JM, et al. Vesico-urethral lithiasis secondary to foreign body[J]. Actas Urol Esp, 2002, 26(2):136-138.
12. Sukkarieh T, Smaldone M, Shah B. Multiple foreign bodies in the anterior and posterior urethra[J]. Int Braz J Urol, 2005, 30(3):219-220.
13. Van Ophoven A, Dekernion JB. Clinical management of foreign bodies of the genitourinary tract[J]. J Urol, 2000, 164(2):274-287.
14. Singh B, Kim H, Wax SH. Strangulation of glans penis by hair[J]. Urology, 1978, 11(2):170-172.
15. Kavoussi LR, Novick AC, Partin AW, et al. Campbell-Walsh urology[M]. 10th ed. Philadelphia:Saunders Elsevier, 2012:56-62.
16. 关有良, 张春阳, 顾秀平, 等. 6例尿道异物(缝衣针)徒手取出法报告[J].辽宁医学院学报, 2007, 28(1):67.
17. 陈长勇, 蒋观尧.经尿道镜钳取法治疗膀胱异物的体会(附3例报告)[J].青海医药杂志, 1986(2):43.
18. 宋伟, 赵勇, 金讯波.阴茎异物嵌套处理(附3例报道)[J].泌尿外科杂志:电子版, 2012, 4(2):31-33.
19. 张循亮, 孙博泉, 曹静.快速切割法治疗阴茎异物嵌顿10例报告[J].山东医药, 2004, 44(15):69.
20. 江山, 许海斌, 于德新.金属异物嵌顿所致阴茎绞窄的治疗[J].临床泌尿外科杂志, 2002, 17(9):497.
21. 甘卫东, 郭宏骞, 曾令奇, 等.阴茎异物嵌套的处理和性心理分析[J].中华男科学杂志, 2011, 17(6):535-537.

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