Self-inflicted urethrovesical foreign body insertion: A case series

@#Urethrovesical foreign bodies involve foreign bodies in the urinary tract that extend from the urethra up to the bladder. These cases are infrequently encountered in urologic practice and the management can be complicated at times. Presented here are 3 cases of self-inflicted urethrovesical foreign body insertions and discussions the strategies in its diagnoses and management. All three patients were men, with a median age of 40 years (range 30-60), and with mental health disorders. Two of the three patients underwent cystolithotomy, with the removal of the foreign bodies while one patient underwent a urethrocystoscopic removal of the foreign body. None of the patients have had any evidence of complications such as urethral stricture disease, or urinary incontinence at a mean follow up of 18 months after (range 12-24 months). The insertion of a foreign body in the urinary tract is a rare occurrence but is commonly a recurrent behavior. The management is aimed at the removal of the foreign object with the avoidance of complications. A thorough psychiatric evaluation must be included to fully evaluate the circumstances behind the act and to avoid future recurrences.

Inflammatory myofibroblastic tumor of the urinary bladder: A prognostically favorable spindle cell neoplasm

@#Inflammatory myofibroblastic tumors (IMT) are rare, benign spindle cell neoplasms of the urinary bladder with a presentation similar to that of a malignant disease. Oftentimes, these tumors pose a diagnostic dilemma because of a significant overlap with malignant spindle cell tumors in terms of clinical presentation, gross findings and immunohistopathologic profile. Due to its rarity, there are no guidelines regarding treatment and follow up. Reporting cases of IMT will bring awareness to the features of these rare tumors, and will help in overcoming limitations in diagnosis, and treatment protocols. Presented here is a case of a 28-year-old female who presented with gross hematuria. Upon work up, revealed the presence of a bladder mass. Patient underwent transurethral resection, then a partial cystectomy, and pathology demonstrated an IMT.