Ali Khan S, Kaiser C W, Dailey B, Krane R
Urol Int. 1984;39(3):184-6. doi: 10.1159/000280971.
Numerous cases of intraurethral foreign bodies of great variety and unusual nature have been reported. Such foreign bodies are usually introduced for sexual stimulation and/or during an intoxicated or confused state. Resulting symptoms usually involve the urinary frequency, dysuria, nocturia, hematuria, gross bleeding per urethra, difficulty in voiding, or complete urinary retention. Depending on the type of foreign body and its location, various methods of removal have been described, including meatotomy, cystoscopy, internal or external urethrotomy, suprapubic cystostomy, Fogarty catheterization, and injection of solvents. The most frequent complications are urethritis, urethral tear with periurethral abscess and/or fistula, hemorrhage, and urethral diverticuli. We report a case of an intraurethral fishhook with its complications and treatment. The diagnosis should be considered in high-risk patients with lower and urinary tract signs and symptoms.
已有大量关于种类繁多且性质异常的尿道内异物的病例报道。此类异物通常是为了性刺激和/或在醉酒或意识不清状态下被置入的。由此产生的症状通常包括尿频、尿痛、夜尿、血尿、尿道大量出血、排尿困难或完全尿潴留。根据异物的类型及其位置，已描述了各种取出方法，包括尿道口切开术、膀胱镜检查、内外尿道切开术、耻骨上膀胱造瘘术、Fogarty导管取栓术以及注射溶剂。最常见的并发症是尿道炎、尿道撕裂伴尿道周围脓肿和/或瘘管形成、出血以及尿道憩室。我们报告一例尿道内鱼钩病例及其并发症和治疗情况。对于有下尿路体征和症状的高危患者应考虑作出该诊断。
