Bote Hicham El, Hage Ernest, Fares Rami
Service d'Urologie A, CHU Ibn Sina, Rabat, Maroc.
Service d'Urologie, Centre Hospitalier de Soissons, Soissons, France.
Pan Afr Med J. 2017 May 26;27:58. doi: 10.11604/pamj.2017.27.58.12644. eCollection 2017.
In medical literature there are several case reports of foreign bodies introduced into the urethra. Foreign bodies are usually inserted as result of erotic activities, psychiatric disorders and, rarely, in an attempt to evacuate the urine. Diagnosis is based on clinical examination and imaging tests. Endoscopic management is the treatment of choice but, in some cases, open surgery may be necessary. The therapeutic approach should be systematically complemented by a psychiatric assessment of the patient. We report the case a 64-year old man with a personal history of behavioral disorders who introduced an electric wire in his urethra. The patient underwent endoscopic extraction under regional anesthesia. The patient at the time of discharge was referred to a psychiatrist.
在医学文献中有几例关于异物进入尿道的病例报告。异物通常是由于性活动、精神疾病插入的，很少是为了排尿而插入。诊断基于临床检查和影像学检查。内镜处理是首选的治疗方法，但在某些情况下，可能需要进行开放手术。治疗方法应系统地辅以对患者的精神科评估。我们报告一例64岁男性病例，该患者有行为障碍个人史，他将一根电线插入了自己的尿道。患者在区域麻醉下接受了内镜取出术。出院时患者被转诊至精神科医生处。
