Qatza Ayham, Sobeh Ahmed Sheikh, Sobeh Agead Shiekh, Allugamie Gihad, Aletr Wakid
Faculty of Medicine, Hama University, Hama, Syria.
Faculty of Medicine, Hama University, Hama, Syria.
Int J Surg Case Rep. 2024 Dec;125:110542. doi: 10.1016/j.ijscr.2024.110542. Epub 2024 Oct 30.
Inserting foreign bodies (FBs) into the lower genitourinary tract is an emergency and uncommon medical condition. The materials used for this purpose are batteries, telephone cables, wires and glass. This report highlights a rare case of urethrovesical FBs "hand sewing needles", emphasizing the limited literature on asymptomatic long-term retention and discussing removal strategies that include conservative care, endoscopic retrieval, and surgical intervention based on case complexity.
A 14-year-old patient presented to the urology clinic with a complaint of penile trauma and painless hematuria a day ago. Physical examination showed hardness in the urethra and perineum. Ultrasonography and an X-ray pelvis showed the presence of FBs at the level of the prostatic urethra and bladder neck. During follow-up, the patient admitted to inserting several hand sewing needles through his penis for sexual gratification over the past four years. Therefore, the needles were successfully retrieved via cystoscopic intervention. Later, the patient recovered and had normal urination with full discretion.
Inserting FBs into UT in children is rare, usually occurring at the beginning of puberty. The diagnosis is based on physical examination, urinalysis, and imaging (computed tomography and ultrasonography). Removal should be performed with minimal trauma. Cystoscopy has commonly been the preferred method for this purpose.
This paper aims to emphasise the importance of educating patients about the dangerous consequences of these actions and receiving a comprehensive psychological assessment to identify any potential underlying mental health conditions and reduce the risk of recurrence.
将异物插入下泌尿生殖道是一种紧急且罕见的医疗状况。用于此目的的材料有电池、电话线、电线和玻璃。本报告重点介绍了一例罕见的尿道膀胱异物“手缝针”病例，强调了关于无症状长期存留的文献有限，并讨论了根据病例复杂性采取的包括保守治疗、内镜取出和手术干预在内的取出策略。
一名14岁患者一天前因阴茎创伤和无痛性血尿主诉就诊于泌尿外科诊所。体格检查显示尿道和会阴处有硬结。超声检查和骨盆X线检查显示前列腺尿道和膀胱颈水平存在异物。在随访过程中，患者承认在过去四年里为了性满足通过阴茎插入了几根手缝针。因此，通过膀胱镜干预成功取出了这些针。后来，患者康复，排尿正常且完全自主。
儿童将异物插入泌尿生殖道的情况罕见，通常发生在青春期开始时。诊断基于体格检查、尿液分析和影像学检查（计算机断层扫描和超声检查）。应采用最小创伤进行取出。膀胱镜检查通常是为此目的的首选方法。
本文旨在强调对患者进行关于这些行为危险后果的教育以及接受全面心理评估以识别任何潜在潜在心理健康状况并降低复发风险的重要性。
