Wednesday, September 9, 2015

Endoscopic Management of Genitourinary Foreign Bodies

Below:  A 30°; camera inserted into the bladder in Patient 1 revealed multiple metallic beads.




Below:  In all, 82 beads measuring a total of 38 cm in length were removed from Patient 1.




Below:  Heavy gauge wires, a safety pin, and an unknown radio-opaque object were seen in a pelvic radiograph of Patient 3.




Below:  Due to the magnetic nature of the beads, many of the beads in Patient 1 were removed as a series.



Below: A magnetic snap found on pelvic radiograph during a return visit of Patient 4.




Retrieval of foreign bodies from the genitourinary system, most commonly inserted for sexual satisfaction or as a result of a psychiatric illness, can pose a significant surgical challenge. Due to their breadth of size, shape, and location within the genitourinary system, endoscopic management can be difficult. Here, we review the management of four cases of foreign object insertion into the genitourinary system and their outcomes and management.

Read more at:  http://ht.ly/S0oGs

By: Joseph B Song, BS, Youssef S Tanagho, MD, MPH, Mohammed Haseebuddin, MD, Brian M Benway, MD, Alana C Desai, MD, Sam B Bhayani, MD, and Robert S Figenshau, MD
Division of Urology, Washington University School of Medicine,, St. Louis, MO

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