Endoscopic management of intravesical foreign body: A challenging condition.
Background: Unusual genitourinary activity has been described for several centuries and is characterized by the deposition of foreign objects in the genitalia. The most common cause is sexual stimulation, but psychiatric disorders and intoxication are also associated. Management involves the retrieval of foreign bodies and the evaluation of psychosocial factors. This study intends to present a 'hair pin' case as a foreign body in the bladder.
Methodology: A 25-year-old female presented to the urology outpatient clinic in early pregnancy with a history of manually inserting hairpin into the urinary bladder through her urethra four years back. She lost to follow up during pregnancy and then presented again after C-section. A plain abdominal film of the kidneys, ureters, and bladder (KUB) confirmed the location of the hairpin and large stone around it in the urinary bladder.
Results: The patient underwent endoscopic removal of foreign body and stone. At cystoscopy urethra was normal, but in the urinary bladder, there was a hairpin with stone formation at its proximal end, and distal portion of the hairpin was embedded in the bladder neck. The hairpin was pushed back in the bladder to separate from the bladder neck, followed by stone fragmentation using a stone punch. After complete removal of stones, the hairpin was aligned in the line of the urethra and removed with the help of forceps.
Conclusion: Suitable method for removing intravesical foreign bodies depends on the nature of the foreign body and available expertise. Most intravesical foreign bodies can be retrieved with endoscopic techniques without resorting to open surgery.
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