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因性行为异常导致的罕见的尿道膀胱异物-病例报告。

Rare vesicourethral foreign body caused by sexual eccentricity - case report.

机构信息

Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China.

Department of Stomatology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China.

出版信息

BMC Urol. 2024 Sep 14;24(1):201. doi: 10.1186/s12894-024-01589-3.

Abstract

BACKGROUND

There are many types of foreign bodies in the bladder and urethra. The most common way is to insert foreign bodies through the external urethra by oneself or by others. It is often seen in situations such as masturbation, mental disorder, curiosity, etc. This article discusses the clinical diagnosis and treatment methods and preventive measures for foreign bodies in the bladder and urethra caused by sexual fetishes.

CASE PRESENTATION

This article introduces a rare case. The patient was a 54-year-old male who inserted a thermometer into his urethra during masturbation and could not remove it. During the operation, we tried various methods to remove the thermometer many times, but due to the angle of the thermometer embedded in the bladder and urethra and the smooth tip of the thermometer, it could not be removed with foreign body forceps. Finally, a homemade negative pressure aspirator (consisting of a section of infusion tube and a 50 ml syringe) was used to completely remove the thermometer from the bladder and urethra. The Written informed consent was obtained from patient did not experience complications such as mercury leakage and bladder and urethral perforation. A telephone follow-up 4 months later showed that the patient urinated smoothly without discomfort such as frequent urination and urgency.

DISCUSSION

There are many types of vesicourethral foreign bodies. When treating vesicourethral foreign bodies clinically, these can be removed through endoscopy, laparoscopy or open surgery according to the size, type and nature of the foreign bodies. At the same time, in order to effectively prevent the occurrence of bladder and urethra foreign bodies, sex education should be vigorously promoted.

摘要

背景

膀胱和尿道中有许多类型的异物。最常见的方式是通过自身或他人将异物通过外部尿道插入。这种情况通常发生在自慰、精神障碍、好奇等情况下。本文讨论了由性癖好引起的膀胱和尿道异物的临床诊断和治疗方法以及预防措施。

病例介绍

本文介绍了一个罕见病例。患者为 54 岁男性,在自慰时将温度计插入尿道,无法取出。手术中,我们尝试了多种方法多次取出温度计,但由于温度计嵌入膀胱和尿道的角度以及温度计尖端光滑,无法用异物钳取出。最后,使用自制的负压吸引器(由一段输液管和一个 50ml 注射器组成)将温度计从膀胱和尿道中完全取出。患者书面知情同意,未出现汞泄漏和膀胱及尿道穿孔等并发症。4 个月后的电话随访显示,患者排尿顺畅,无尿频、尿急等不适。

讨论

膀胱尿道异物种类繁多,临床上治疗膀胱尿道异物时,可根据异物的大小、类型和性质,通过内镜、腹腔镜或开放性手术取出。同时,为有效预防膀胱尿道异物的发生,应大力开展性教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/11401421/68250d63887b/12894_2024_1589_Fig1_HTML.jpg

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