Endoscopic Management of Foreign Body in Urethra andUrinary Bladder

Aims: To analyze endoscopic management of foreign body urinary tract, its outcome and complications.Methods: A retrospective study of 11 cases of foreign body urinary bladder and urethra was performedfrom Jan, 2001 to June, 2008. Diagnosis was confirmed by X-Ray and ultrasound and removal was done byendoscopic and open surgery.Results: Total numbers of patients were 11, out of which 8 were male and 3 female. Eight patients haveforeign body in bladder and 3 in urethra. Lower urinary tract symptoms, hematuria, pyuria and urinary retentionwere the main symptoms. Endoscopic removal was successful in 9 out of 11 patients. Psychiatric disorderwas present in 4 patients while two inserted these for autoerotic stimulation. Urethral stricture was the maincomplication.Conclusions: Foreign bodies in urinary tract are rare. Radiological evaluation is mandatory to ascertain exactsize, shape, site, and type of object. Endoscopic removal is usually successful in expert heads with littlecomplications. A psychiatric evaluation is recommended for self inflicted foreign bodies