Self-insertion of an odd urethral foreign body that led to Fournier's gangrene
| Autor: | Samer El-Halwagy, Mohamed Mohamed Elawdy, Joseph Maliakal, Emad E. Mousa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment 030232 urology & nephrology Case Report URINE RETENTION lcsh:RC870-923 03 medical and health sciences 0302 clinical medicine Urethral foreign body Fournier s gangrene medicine Foreign Bodies Gangrene Debridement business.industry urethral foreign bodies lcsh:Diseases of the genitourinary system. Urology medicine.disease Surgery Urethra medicine.anatomical_structure Additional Surgery Fournier's gangrene 030220 oncology & carcinogenesis urethra business |
| Zdroj: | Urology Annals Urology Annals, Vol 11, Iss 3, Pp 320-323 (2019) |
| ISSN: | 0974-7834 0974-7796 |
| Popis: | Self-inserted urethral foreign bodies (FBs) are rare. Neither reported case was the self-inflicted FB due to a lack of financial resources nor was either case complicated by Fournier's gangrene. We present a 54-year-old male who inserted a household pipe to relieve his urine retention. Unfortunately, the FB became stuck inside, perforated the urethra, and required perineal exploration. After it was removed, the urethra was closed over a 16F urethral catheter. The wound was complicated by severe infection and resulting Fournier's gangrene. This required an additional surgery for debridement and urine diversion. Retrospectively, it would have been better if the urethra had been left open with SP tube only. We are sharing a clinical lesson learned by the practicing urologist and surgeons. Conclusively, self-inserted FBs in the urethra may lead to a series of complications. Patients with limited financial resources need more attention and care because they may hurt themselves unintentionally. |
| Databáze: | OpenAIRE |
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