A case of self-inserted foreign body in the urinary bladder: Usefulness of three-dimensional reconstruction computed tomography for surgery planning

• Published in: Urology case reports Vol. 44; p. 102161
• Main Authors: Yokoyama, Megumi, Suzuki, Issei, Kijima, Toshiki, Yuki, Hideo, Kamai, Takao
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.09.2022; Elsevier
• Subjects: Computed tomography; Intravesical foreign body; Open cystotomy; Surgery planning; Trauma and Reconstruction; Intravesical foreign body; Open cystotomy; Computed tomography; Surgery planning
• ISSN: 2214-4420; 2214-4420
• DOI: 10.1016/j.eucr.2022.102161

Retrieving intravesical foreign bodies warrants open cystotomy; therefore, preoperative evaluation of the material, size, shape, and location is essential for surgical planning. A 79-year-old man presented with dysuria and admitted inserting a jump rope into his urethra. Reconstructed three-dimensional computed tomography showed an entangled jump rope; therefore an endoscopic surgery was deemed unsuitable. Instead, the rope was removed through a small open cystotomy. He had no complications. Intravesical foreign bodies are not rare, and they should be considered as a differential diagnosis in patients with lower urinary tract symptoms. Three-dimensional reconstruction computed tomography contributes to surgical planning.