Department of Urology, Health Sciences Federal University at Porto Alegre (UFCSPA), Porto Alegre, Brazil Mãe de Deus Center Hospital, Porto Alegre, Brazil Department of Urology, Santa Cruz do Sul University (UNISC), Santa Cruz do Sul, Brazil.
J Sex Med. 2013 Oct;10(10):2590-2. doi: 10.1111/j.1743-6109.2012.02772.x. Epub 2012 May 21.
A great variety of foreign bodies in the lower urinary tract have been described; many of them are self-inflicted by the patient with masturbatory purposes. Depending on the nature of the foreign body the diagnostic and management might be challenging.
We report a case of an unusual magnetic self-inserted foreign body into the bladder for autoerotism and briefly discuss the diagnostic and therapeutic implications in this challenging situation.
We describe all the steps we have used to adequately diagnose the problem, describe the foreign body and treatments for the patient. Related articles were found by utilizing the PubMed database and are summarized in this study.
The management approach must be planned according to the nature of the foreign body and should minimize bladder and urethral trauma. However, most of cases can be managed endoscopically.
Removal of magnetic foreign body may be quite challenging, requiring high-level surgical skills and minimally invasive techniques resulting in fast recovery and low complication rate.
在下尿路中已经描述了各种各样的异物;其中许多是由患者自行用自慰的目的塞入的。根据异物的性质,诊断和处理可能具有挑战性。
我们报告了一例不常见的磁性自体插入膀胱的异物用于自慰的病例,并简要讨论了在这种具有挑战性的情况下的诊断和治疗意义。
我们描述了我们为充分诊断该问题所使用的所有步骤,描述了异物和患者的治疗方法。通过利用 PubMed 数据库找到了相关文章,并在本研究中进行了总结。
管理方法必须根据异物的性质来计划,应尽量减少膀胱和尿道的创伤。然而,大多数情况下可以通过内窥镜进行处理。
磁性异物的取出可能极具挑战性,需要高水平的手术技能和微创技术,从而实现快速康复和低并发症率。