Elsevier

Urology

Volume 81, Issue 1, January 2013, Pages 188-190
Urology

Pediatric Case Report
Needles as Urethral Foreign Body in a Child: Successful Removal Using a New Method With a Laparoscopic Needle Holder

https://doi.org/10.1016/j.urology.2012.09.005Get rights and content

Self-inserted foreign bodies in the lower urinary tract are rare among children. The treatment of foreign bodies in the urethra is determined by their type, size, location, shape, and mobility. We describe here a 13-year-old boy who had self-inserted a needle into his urethra out of curiosity. Initial attempts to remove the needle from the urethra by inserting a cystoscope failed due to the weak biting force of the forceps and because the needle was trapped in the urethral mucosa. We successfully used a laparoscopic needle holder to remove the needle through the perineum.

Section snippets

Case Report

A 13-year-old boy presented to the emergency department with a urethral needle he had self-inserted 5 days earlier. He had no symptoms, including a voiding problem. However, he asked for help by presenting anxiety and hesitation for 5 days after making several unsuccessful attempts to remove it himself. The boy was otherwise healthy, without previous medical problems, including psychiatric illness or drug addiction. This was the first time he had ever self-inserted a foreign body in his

Discussion

The presence of a foreign body in the genitourinary tract often requires prompt treatment.2, 3, 4, 5 Definite management of urethral foreign bodies aims at complete removal with minimal complications.6 The most reasonable method to remove urethral foreign bodies depends on characteristic of the objects, such as shape, size, location, and mobility in the urethra.4 Various methods of foreign body removal from the urethra have been described, including meatotomy, cystoscopy, internal or external

References (8)

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    Zaghbib S et al.3 described a 14-year-old boy with urethral self-insertion of a sewing needle who complained of dysuria for 3 days. Park S et al.4 reported a boy with a urethral needle who had no remarkable symptoms. However, this patient in his case took the initiative to inform the urethral insertion history, and the foreign body was quickly diagnosed and removed.

  • Experience of pediatric urogenital tract inserted objects: 10-year single-center study

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    2021, Journal of Indian Association of Pediatric Surgeons
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Financial Disclosure: The authors declare that they have no relevant financial interests.

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