| Foreign bodies in the female urinary bladder: 20-year experience in Ramathibodi Hospital. | |
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MedLine Citation:
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PMID: 18658011 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Foreign bodies in the female urinary bladder may occur by self-insertion or migration from adjacent organs. The most common reason for this is sexual in nature, but hygienic behaviour and attempts to relieve voiding problems have been reported. Only small case series were found in the literature devoted to foreign bodies in the urinary bladder. Therefore, we reviewed our experience regarding foreign bodies in the female urinary bladder in our hospital. METHODS: Medical records of female patients who were diagnosed with a foreign body in the urinary bladder during 1985-2005 were reviewed. Demographics, causes, type of object found, clinical presentation, treatment and outcomes were noted. RESULTS: Seventy-eight patients with a mean age of 38 years were identified. The major route for ingress of foreign bodies was via the urethra. The objects found self-inserted were cotton swabs, tampons, paper clips and pen casings. As most of Thailand is an agricultural environment, some small living organisms such as leeches could be found as foreign bodies in the bladder. The majority of the cases presented with haematuria associated with frequency, urgency and pelvic pain. Almost all cases could be managed by endoscopic removal with minimal complications. Four cases were treated by open surgery. CONCLUSION: Foreign bodies in the urinary bladder represent a urological challenge that requires prompt management. The suspected history and presenting symptoms are crucial and lead to further investigations. Gentle endoscopic management is the main treatment with a high success rate. |
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Authors:
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Wachira Kochakarn; Wipaporn Pummanagura |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Asian journal of surgery / Asian Surgical Association Volume: 31 ISSN: 1015-9584 ISO Abbreviation: Asian J Surg Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-07-28 Completed Date: 2008-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8900600 Medline TA: Asian J Surg Country: China |
Other Details:
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Languages: eng Pagination: 130-3 Citation Subset: IM |
Affiliation:
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Department of Surgery, Division of Urology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. ravkc@mahidol.ac.th |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Cystoscopy Female Foreign Bodies / epidemiology, etiology*, surgery* Hospitals / statistics & numerical data Humans Middle Aged Thailand / epidemiology Time Factors Treatment Outcome Urinary Bladder* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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