Rieder Jocelyn, Brusky John, Tran Viet, Stern Karen, Aboseif Sherif
Department of Urology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, Calif 90027, USA. jocelyn.m.rieder @ kp.org
Urol Int. 2010;84(4):471-5. doi: 10.1159/000296284. Epub 2010 Mar 12.
Retrospective evaluation of a series of patients presenting with genitourinary foreign objects.
From 1997 to 2007, 11 men and 2 women were treated for a variety of foreign objects in the genitourinary tract. Medical records were reviewed for presentation, diagnosis, mental status, drug dependency, treatment, and follow-up.
13 patients were seen for removal of the foreign objects or for treatment of the sequela. These objects were intentionally self-inflicted, accidentally introduced or iatrogenic in nature. Intentional objects included: safety pins, screwdriver, marbles, pen cap, pencils, straw, cocaine, stiff metal wire and part of a pizza mixer. Accidental objects included: magnets, female catheter, urinary incontinence devices and part of a Foley catheter. The iatrogenic object was a reservoir from an inflatable penile implant. Smaller noninjurious objects were retrieved cystoscopically or at the bedside; larger objects or objects associated with trauma to the urethra needed open and reconstructive operations.
Generally thought to be self-inflicted for personal gratification, the source of genitourinary objects can also be accidental or iatrogenic. The most traumatic injuries are purposely self-inflicted and found in patients who remove the objects themselves. These patients are at higher risk of permanent urethral damage needing complex surgical treatment and follow-up.
对一系列出现泌尿生殖系统异物的患者进行回顾性评估。
1997年至2007年期间，11名男性和2名女性因泌尿生殖道内的各种异物接受治疗。对病历进行了回顾，内容包括临床表现、诊断、精神状态、药物依赖、治疗及随访情况。
13名患者因取出异物或治疗后遗症前来就诊。这些异物的来源为故意自伤、意外置入或医源性。故意置入的异物包括：安全别针、螺丝刀、弹珠、笔帽、铅笔、吸管、可卡因、硬金属丝及披萨搅拌器的一部分。意外置入的异物包括：磁铁、女性导尿管、尿失禁装置及福勒导尿管的一部分。医源性异物为可膨胀阴茎假体的储液囊。较小的无损伤性异物通过膀胱镜检查或在床边取出；较大的异物或与尿道创伤相关的异物则需要进行开放性重建手术。
泌尿生殖系统异物通常被认为是为了个人满足而故意自伤所致，但其来源也可能是意外或医源性的。最具创伤性的损伤是故意自伤造成的，多见于自行取出异物的患者。这些患者永久性尿道损伤的风险较高，需要进行复杂的手术治疗及随访。
