Sharma Deepanshu, Pandey Siddharth, Garg Gaurav, Sankhwar Satyanarayan
Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2018 May 26;2018:bcr-2018-224494. doi: 10.1136/bcr-2018-224494.
Misdiagnosis of a urethral foreign body (FB) as urethral stricture leads to inadequate management and prolonged treatment duration. A 55-year-old male patient was referred with complaints of difficulty in voiding and poor urinary stream for 2 months. He initially presented at a primary healthcare centre and was misdiagnosed as urethral stricture and was scheduled for urethroplasty. Surprisingly, intraoperative cystourethroscopy performed by us revealed that the urethra had been obstructed by an FB. The FB was gently pushed into the bladder and retrieved. The postoperative course was uneventful. The present case represents a rare occurrence of polyembolokoilamania or insertion of a FB into any bodily orifice for sexual gratification.
将尿道异物误诊为尿道狭窄会导致治疗不当和治疗时间延长。一名55岁男性患者因排尿困难和尿流变细2个月前来就诊。他最初在一家基层医疗中心就诊,被误诊为尿道狭窄,并计划进行尿道成形术。令人惊讶的是,我们术中进行的膀胱尿道镜检查发现尿道被一个异物阻塞。该异物被轻轻推入膀胱并取出。术后过程顺利。本病例代表了一种罕见的多栓塞癖或为获得性满足而将异物插入任何身体孔窍的情况。