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Urethrovesical foreign body: Report of two cases and literature review
Sefu Juma Uledi1, George Lodewijk Pape2, Fauzia Ayubu Masumai3
1M. Med. Surgery, Head of Surgery Department, Mzuzu Central Hospital, Mzuzu, Malawi.
2FRCS, Ed, Surgeon, Department of Surgery, Mzuzu Central Hospital, Mzuzu, Malawi.
3MB.ChB, Senior Medical Officer, Department of Obstetric and Gynaecology, Mzuzu Central Hospital, Mzuzu, Malawi.

doi:10.5348/ijcri-2012-09-171-CS-1

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How to cite this article:
Uledi SJ, Pape GL, Masumai FA. Urethrovesical foreign body: Report of two cases and literature review. International Journal of Case Reports and Images 2012;3(9):1–4.


Abstract
Introduction: Urethrovesical foreign bodies have been fairly reported. However, hitherto their diagnosis and subsequent management still pose challenge to clinicians. Different types of urethrovesical foreign bodies have been described. Broadly, they can be categorized as inserted, iatrogenic and migratory foreign objects. Regardless of their diversity, nature and origin, they do often lead to similar presenting symptoms and beset by multitude of complications.
Case Report: We hereby report two cases: first, being self inserted wire into the male urethra and urinary bladder. Second case is a foreign body iatrogenically introduced into urinary bladder of a 52-year-old male during open prostate surgery.
Conclusion: Patients with urethrovesical foreign bodies are highly susceptible to infections and other life threatening complications. Therefore, the use of broad spectrum antibiotics after culture and sensitivity studies coupled with safe removal of foreign bodies remains the mainstay of treatment. The precise modus operandi of retrieval always depends upon factors such as the type, size, shape and location of foreign object. Never the less, minimally invasive retrieval modalities are encouraged whenever deemed appropriately. Urethrovesical foreign bodies are frequently encountered in our clinical practice. It is therefore very essential to have high index of suspicion when reviewing patients with acute or chronic lower urinary symptoms.

Key Words: Iatrogenic foreign body, Urethra, Urinary bladder, Foreign body, Self-insertion

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Author Contributions:
Sefu Juma Uledi – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
George Lodewijk Pape – Acquisition of data, Drafting the article, Final approval of the version to be published
Fauzia Ayubu Masumai – Conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Sefu Juma Uledi et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)