PDF(Pubmed)
Abstract：
Lower urinary tract foreign bodies are often reported but the underlying causes remain intriguing, ranging from unconventional practices to medical interventions. This condition predominantly affects young males and presentations are varied from asymptomatic, lower urinary tract symptoms to acute obstructive renal failure. We report a case of a 48-year-old male presented with lower urinary tract symptoms and obstructive renal failure. Imaging revealed multiple foreign bodies in the pelvic cavity, suggestive of vesical, and urethral lithiasis. Urethrocystoscopy removed an 8-cm needle with rubber band and a 10-cm encrusted cable, forming a urethral stone. Vesicolithotomy removed a 5 × 3 cm bladder stone with a SIM card inserter as its core. The patient\'s condition improved after surgery. Notably, the patient\'s history prompted a psychiatric evaluation, leading to the diagnosis of and treatment for an adjustment disorder. While endourology procedure is effective in most cases, some cases necessitate open surgery. Identification and treatment of underlying psychiatric disorders is needed to for long term care.
摘要：
下尿路异物经常被报道，但潜在的原因仍然很有趣，从非常规实践到医疗干预。这种情况主要影响年轻男性，表现与无症状不同，下尿路症状为急性梗阻性肾功能衰竭。我们报告了一例48岁男性，表现为下尿路症状和阻塞性肾功能衰竭。影像学显示盆腔有多个异物,暗示膀胱，尿道结石.尿道膀胱镜取下一根带橡皮筋的8厘米针头和一根10厘米的包裹电缆，形成尿道结石.以SIM卡插入器为核心的膀胱切开术切除了5×3厘米的膀胱结石。手术后患者病情好转。值得注意的是,病人的病史促使精神病学评估，导致调整障碍的诊断和治疗。虽然腔内泌尿外科手术在大多数情况下是有效的，有些病例需要开腹手术。长期护理需要识别和治疗潜在的精神疾病。
