Department of Pediatric Surgery, University Childrens Hospital Basel, Basel, Switzerland.
J Pediatr Surg. 2012 Dec;47(12):e39-41. doi: 10.1016/j.jpedsurg.2012.08.041.
We report the case of a 14 year old boy who presented at our emergency department because of increasing alguria and dysuria one year after inserting a wire cable into his bladder for autoerotic purposes. Endoscopic transurethral removal of the foreign body proved to be impossible because the cable was of a stiff consistency and was trapped in scar tissue at the bladder neck. The foreign body therefore had to be extracted using a Pfannenstiel approach. Urethrocystoscopy and uroflow performed one week later were normal. Filiform intravesical foreign bodies can create particular challenges. Adequate diagnostic imaging, awareness of possible complications, and knowledge of the different available techniques are essential in planning safe extraction.
我们报告了一例 14 岁男孩的病例，他因自慰将一根电缆插入膀胱一年后出现尿痛和排尿困难而到我们的急诊科就诊。由于电缆质地坚硬，且被膀胱颈部的疤痕组织困住，经尿道内镜取出异物的尝试失败。因此，只能通过经脐部切口取出异物。一周后进行的尿道膀胱镜检查和尿流率检查均正常。腔内线状异物取出具有一定的挑战性。充分的诊断性影像学检查、对可能出现的并发症的认识以及对不同可用技术的了解，对于安全取出异物至关重要。
