Department of Urology, Hanyang University, College of Medicine, Seoul, Korea.
Int Neurourol J. 2010 Oct;14(3):186-9. doi: 10.5213/inj.2010.14.3.186. Epub 2010 Oct 31.
Most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Diagnosis of these foreign bodies can be done by clinical history, physical examination, and image studies of the patient. The treatment of foreign bodies is determined by their size, location, shape, and mobility. In most cases, minimally invasive procedures such as endoscopic removal are recommended to prevent bladder and urethral injuries. In some cases, however, surgical treatment should be done if the foreign bodies cannot be removed by the endoscopic procedure or further injuries are expected as a result of the endoscopic procedures. Herein we present 2 cases of self-inserted lower genitourinary foreign bodies with a brief review of the literature.
大多数下尿路的异物是由于异想天开、心理问题、性好奇或醉酒时的性行为，通过尿道自行插入。这些异物的诊断可以通过患者的临床病史、体格检查和影像学研究来完成。异物的治疗取决于其大小、位置、形状和活动性。在大多数情况下，建议采用微创程序，如内镜取出，以防止膀胱和尿道损伤。然而，在某些情况下，如果异物不能通过内镜程序取出，或者由于内镜程序预计会造成进一步的损伤，则需要进行手术治疗。本文介绍了 2 例自行插入下尿路的异物病例，并对文献进行了简要回顾。
