Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience_West China Medical Journal

Authors：

 LIULing , CHENYong-ji , HEQi-ying ,  YANGLu

Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YANGLu, Email: 14652018@qq.com

Keywords：

Lower urinary tract; Penis; Foreign body; Diagnosis and treatment

DOI：

10.7507/1002-0179.20150012

Video：

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Objective To explore the clinical treatment measures and etiology analysis of lower urinary tract and penile foreign bodies. Methods We retrospectively analyzed the etiology and diagnosis of 48 cases of lower urinary tract and penile foreign body in the Department of Urology of our hospital between 1993 and 2012. Results Nine bladder foreign bodies were removed successfully by using cystoscopy; nine were removed through suprapubic cystotomy; urethral foreign bodies in 10 patients were successfully taken out by urethrascope; five foreign bodies were extracted by hand and forceps; rubber bands in 2 patients were cut off under local anesthesia; fretsaw was used to cut through the nested rings in 7 patients; dental drill was used to cut nesting materials in 3 patients; and 3 patients underwent penis skin circumcision overturn stripping ring extraction. No complications after urethral foreign body extraction occurred. Conclusion The lower urinary tract and penile foreign bodies are easy to diagnose, but patients often conceal the etiology, so the natural history collection is very important in the diagnosis, and doctors should take appropriate methods to remove the foreign body after the diagnosis is confirmed.

Citation： LIULing, CHENYong-ji, HEQi-ying, YANGLu. Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience. West China Medical Journal, 2015, 30(1): 45-17. doi: 10.7507/1002-0179.20150012 Copy

1.	樊文廣, 王春森, 李翀, 等.下尿路異物的診斷和治療[J].內蒙古醫學院學報, 2009, 31(3):295-296, 298.
2.	Gauthier M. Observation d'un étranglemant des testicules et de la verge, occasionné par le passage d'un briquette[J]. J Med Chir Pharmacol (Paris), 1755, 3:358.
3.	Schuster G, Stockmal P. Genital incarceration with metal rings:their safe removal[J]. Tech Urol, 1999, 5(2):116-118.
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5.	Kato Y, Kaneko S, Iguchi M, et al. Strangulation of the penis by a ring[J]. Hinyokika Kiyo, 1987, 33(10):1672-1675.
6.	Detweiler MB, Perkins D. Penile incarceration:a wrapping technique[J]. J Emerg Med, 2001, 20(2):159-161.
7.	范志強, 李啟忠, 丁德剛, 等.膀胱及尿道異物分析[J].醫藥論壇雜志, 2007, 28(3):55-56.
8.	李桂彩, 王春光.經直腸及經體表超聲診斷男性尿道異物1例[J].中國超聲診斷雜志, 2002, 3(9):693.
9.	黃秀艷, 李永安.超聲診斷在膀胱疾病中的應用價值[J].航空航天醫學雜志, 2011, 22(8):1006-1007.
10.	Trivedi S, Attam A, Kerketa A, et al. Penile incarceration with metallic foreign bodies:management and review of literature[J]. Curr Urol, 2013, 7(1):45-50.
11.	Recasens Guinjuan JR, Flores González JJ, Samsó Pi?ol JM, et al. Vesico-urethral lithiasis secondary to foreign body[J]. Actas Urol Esp, 2002, 26(2):136-138.
12.	Sukkarieh T, Smaldone M, Shah B. Multiple foreign bodies in the anterior and posterior urethra[J]. Int Braz J Urol, 2005, 30(3):219-220.
13.	Van Ophoven A, Dekernion JB. Clinical management of foreign bodies of the genitourinary tract[J]. J Urol, 2000, 164(2):274-287.
14.	Singh B, Kim H, Wax SH. Strangulation of glans penis by hair[J]. Urology, 1978, 11(2):170-172.
15.	Kavoussi LR, Novick AC, Partin AW, et al. Campbell-Walsh urology[M]. 10th ed. Philadelphia:Saunders Elsevier, 2012:56-62.
16.	關有良, 張春陽, 顧秀平, 等. 6例尿道異物(縫衣針)徒手取出法報告[J].遼寧醫學院學報, 2007, 28(1):67.
17.	陳長勇, 蔣觀堯.經尿道鏡鉗取法治療膀胱異物的體會(附3例報告)[J].青海醫藥雜志, 1986(2):43.
18.	宋偉, 趙勇, 金訊波.陰莖異物嵌套處理(附3例報道)[J].泌尿外科雜志:電子版, 2012, 4(2):31-33.
19.	張循亮, 孫博泉, 曹靜.快速切割法治療陰莖異物嵌頓10例報告[J].山東醫藥, 2004, 44(15):69.
20.	江山, 許海斌, 于德新.金屬異物嵌頓所致陰莖絞窄的治療[J].臨床泌尿外科雜志, 2002, 17(9):497.
21.	甘衛東, 郭宏騫, 曾令奇, 等.陰莖異物嵌套的處理和性心理分析[J].中華男科學雜志, 2011, 17(6):535-537.

1. 樊文廣, 王春森, 李翀, 等.下尿路異物的診斷和治療[J].內蒙古醫學院學報, 2009, 31(3):295-296, 298.
2. Gauthier M. Observation d'un étranglemant des testicules et de la verge, occasionné par le passage d'un briquette[J]. J Med Chir Pharmacol (Paris), 1755, 3:358.
3. Schuster G, Stockmal P. Genital incarceration with metal rings:their safe removal[J]. Tech Urol, 1999, 5(2):116-118.
4. Klein FA, Smith MJ. Treatment of incarceration of the penis by tempered steel bushings[J]. J Emerg Med, 1987, 5(1):5-8.
5. Kato Y, Kaneko S, Iguchi M, et al. Strangulation of the penis by a ring[J]. Hinyokika Kiyo, 1987, 33(10):1672-1675.
6. Detweiler MB, Perkins D. Penile incarceration:a wrapping technique[J]. J Emerg Med, 2001, 20(2):159-161.
7. 范志強, 李啟忠, 丁德剛, 等.膀胱及尿道異物分析[J].醫藥論壇雜志, 2007, 28(3):55-56.
8. 李桂彩, 王春光.經直腸及經體表超聲診斷男性尿道異物1例[J].中國超聲診斷雜志, 2002, 3(9):693.
9. 黃秀艷, 李永安.超聲診斷在膀胱疾病中的應用價值[J].航空航天醫學雜志, 2011, 22(8):1006-1007.
10. Trivedi S, Attam A, Kerketa A, et al. Penile incarceration with metallic foreign bodies:management and review of literature[J]. Curr Urol, 2013, 7(1):45-50.
11. Recasens Guinjuan JR, Flores González JJ, Samsó Pi?ol JM, et al. Vesico-urethral lithiasis secondary to foreign body[J]. Actas Urol Esp, 2002, 26(2):136-138.
12. Sukkarieh T, Smaldone M, Shah B. Multiple foreign bodies in the anterior and posterior urethra[J]. Int Braz J Urol, 2005, 30(3):219-220.
13. Van Ophoven A, Dekernion JB. Clinical management of foreign bodies of the genitourinary tract[J]. J Urol, 2000, 164(2):274-287.
14. Singh B, Kim H, Wax SH. Strangulation of glans penis by hair[J]. Urology, 1978, 11(2):170-172.
15. Kavoussi LR, Novick AC, Partin AW, et al. Campbell-Walsh urology[M]. 10th ed. Philadelphia:Saunders Elsevier, 2012:56-62.
16. 關有良, 張春陽, 顧秀平, 等. 6例尿道異物(縫衣針)徒手取出法報告[J].遼寧醫學院學報, 2007, 28(1):67.
17. 陳長勇, 蔣觀堯.經尿道鏡鉗取法治療膀胱異物的體會(附3例報告)[J].青海醫藥雜志, 1986(2):43.
18. 宋偉, 趙勇, 金訊波.陰莖異物嵌套處理(附3例報道)[J].泌尿外科雜志:電子版, 2012, 4(2):31-33.
19. 張循亮, 孫博泉, 曹靜.快速切割法治療陰莖異物嵌頓10例報告[J].山東醫藥, 2004, 44(15):69.
20. 江山, 許海斌, 于德新.金屬異物嵌頓所致陰莖絞窄的治療[J].臨床泌尿外科雜志, 2002, 17(9):497.
21. 甘衛東, 郭宏騫, 曾令奇, 等.陰莖異物嵌套的處理和性心理分析[J].中華男科學雜志, 2011, 17(6):535-537.

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Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience

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