Yokoyama Megumi, Suzuki Issei, Kijima Toshiki, Yuki Hideo, Kamai Takao
Department of Urology, Dokkyo Medical University Nikko Medical Center, 632 Takatoku, Nikko, Tochigi, 321-2593, Japan.
Department of Urology, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, 321-0293, Japan.
Urol Case Rep. 2022 Jul 8;44:102161. doi: 10.1016/j.eucr.2022.102161. eCollection 2022 Sep.
Retrieving intravesical foreign bodies warrants open cystotomy; therefore, preoperative evaluation of the material, size, shape, and location is essential for surgical planning. A 79-year-old man presented with dysuria and admitted inserting a jump rope into his urethra. Reconstructed three-dimensional computed tomography showed an entangled jump rope; therefore an endoscopic surgery was deemed unsuitable. Instead, the rope was removed through a small open cystotomy. He had no complications. Intravesical foreign bodies are not rare, and they should be considered as a differential diagnosis in patients with lower urinary tract symptoms. Three-dimensional reconstruction computed tomography contributes to surgical planning.
取出膀胱内异物需要进行开放性膀胱切开术；因此，术前对异物的材质、大小、形状和位置进行评估对于手术规划至关重要。一名79岁男性因排尿困难就诊，承认将一根跳绳插入了尿道。重建的三维计算机断层扫描显示有一根缠绕的跳绳；因此，内镜手术被认为不合适。取而代之的是，通过一个小的开放性膀胱切开术取出了跳绳。他没有出现并发症。膀胱内异物并不罕见，在有下尿路症状的患者中应将其视为鉴别诊断之一。三维重建计算机断层扫描有助于手术规划。
