Abdul Rasheed Shaikh, Nisar Ahmed Shaikh, Amanullah Abbasi, Muhammad Iqbal Soomro, Aijaz Ahmed Memon.
Foreign bodies in the urinary bladder.
Rawal Med J Jan ;35(2):194-7.

Objective: Todetermine the cause, clinical presentation and the most suitable method of treatment for retrieving foreign bodies from urinary bladder. Patients and Methods: This descriptive study was conducted at Department of Nephro-Urology Chandka Medical College Hospital (CMCH), Larkana. Patients were divided into two groups on the basis of having known or unknown foreign bodies in urinary bladder. In group-1 the diagnosis of presence of foreign body was confirmed with the help of investigations, whereas in group-2 the foreign bodies were discovered incidentally either during cystoscopy or in the core of vesical calculus while doing intra-corporeal cystolithotripsy procedure. Patients presented with dysuria, frequency, suprapubic pain and hematuria. The foreign bodies with or without stone were approached for treatment via endoscopic or open surgical procedure. Results: 34 cases having foreign body in urinary bladder were treated from April, 1998 to October, 2008. Group-I comprised of six (17.64%) patients, whereas group-II consisted of 28(82.3%) cases. The known foreign bodies included bullet (01, 2.94%), piece of metallic urethral dilator (01,2.94%) and piece of Foleys catheter (04, 11.76%). The unknown foreign bodies were broken piece of balloon of Foleys catheter (13. 38.2%), suture material (10, 29.4%), thermometer (01, 2.94%), gauze piece (02, 5.88%), and IUCD (02, 5.88%). All the foreign bodies were removed by endoscopic approach except two (5.88%), who required open surgery. Conclusions: Unusual foreign bodies like bullet, broken piece of metallic urethral dilator and thermometer were seen. Majority were retrieved by endoscopic method. (Rawal Med J 2010;35:194-197).

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