ABSTRACT
@#A transurethrally-inserted foreign body is a rare urologic case that may be brought about by deviant sexual behavior or mental disability. This is a case of a 42-year old male presenting with repeated episodes of inserting a twisted electrical wire into his urethra. He already underwent open transvesical extraction of intravesical screw two years prior. A pre-operative pelvic x-ray confirmed the length of the intravesical component of the electrical wire. Open transvesical extraction of the wire was done followed by urethroscopy to ensure the absence of a urethral injury. An open approach was chosen over an endoscopic one because of the significant intravesical component of the foreign body. The patient did not experience any post-operative complications such as fever and superficial wound infections. He was referred to psychiatry service cleared for any deviant behavioral or psychiatric conditions.
ABSTRACT
Stress urinary incontinence is the predominant symptom in young and middle-aged women. Stress urinary incontinence is not a life-threatening disease but can lead to discomfort, which can also limit the social and sexual activities of women. Lately TOT operation is performed in most cases of stress urinary incontinence. But Burch colposuspension had been one of successful operations for genuine stress incontinence until TOT procedure was performed. Burch colposuspension has significant morbidity such as bleeding, infection and wound hematoma, and subsequent complications including voiding difficulty, de novo detrusor instability, recurrent urinary tract infection and uterovaginal prolapse. In this case, Delayed migration of the suture and bolster after an endoscopic Burch colposuspension across tissue planes, with subsequent erosion into the bladder, is uncommon. We report an unusual complication 5 years after Burch operation. It was an intravesical foreign body granuloma caused by suture material.