Emerson Paul C, Nijhar Jeevan, Hays Erin, Shaw Nathan M, Venkatesan Krishnan
Georgetown University School of Medicine, USA.
Department of Urology, MedStar Georgetown University Hospital, Washington DC, USA.
Urol Case Rep. 2024 May 11;54:102751. doi: 10.1016/j.eucr.2024.102751. eCollection 2024 May.
Management of urethral sounding related injuries continues to be a challenge due to the wide breath of objects implicated, the rarity of cases, and chance of significant complication. We present a particularly challenging and novel case where a patient inserted a round of live ammunition into his urethra. Non-surgical removal was limited over concern for accidental discharge of the round, and the patient was taken to the operating room where open removal was performed. Psychiatric evaluation should be considered for cases where sounding injury requires surgical intervention, and a patient-centered, prevention-focused approach is best for building physician-patient rapport and adherence.
由于涉及的物品种类繁多、病例罕见以及出现严重并发症的可能性，尿道探通相关损伤的处理仍然是一项挑战。我们呈现了一个特别具有挑战性的新颖病例，一名患者将一发实弹插入了自己的尿道。由于担心子弹意外发射，非手术取出受到限制，于是患者被送往手术室进行了开放性取出。对于需要手术干预的探通损伤病例，应考虑进行精神科评估，以患者为中心、注重预防的方法最有利于建立医患关系和提高依从性。
