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. 2023 Jan 10:10:1095993.
doi: 10.3389/fped.2022.1095993. eCollection 2022.

Foreign bodies in children's lower urinary tract: A case series and literature review

Tongshuai Kuang  1 , Wei Cai  1 , Weite Qian  1 , Xiaokun Lin  1   2
Affiliations

Foreign bodies in children's lower urinary tract: A case series and literature review

Tongshuai Kuang et al. Front Pediatr. .

Abstract

Background: Children with foreign bodies (FBs) in the lower urinary tract have rarely been reported, and their management remains challenging. This study aimed to describe the characteristics and treatment of FBs in children's lower urinary tract.

Methods: We retrospectively analyzed the clinical data on lower urinary tract FBs that were removed in our hospital from August 2017 to August 2022, including demographics, location, symptoms, imaging examinations, and treatment.

Results: Four male patients were enrolled, whose ages ranged from 9 to 13 years, with a mean age of 11 years. The course of the disease ranged from 3 h to 2 weeks. Their imaging characteristics were reviewed and analyzed, and two FBs were located in the bladder and two in the urethra. Mosquito forceps were used to remove an acne needle through the urethra in one case. Cystoscopy was first attempted in three cases, in only one of which was the FB removed successfully under endoscopic minimally invasive surgery. In the remaining two cases, removal via transurethral cystoscopy failed, whereby leading to cystotomy being performed. The FBs comprise a skipping rope, hairpin, magnetic bead, and acne needle. The postoperative recovery was uneventful, and no complications occurred during the follow-up period of 3 to 6 months.

Conclusion: It is rare for children to have FBs in the lower urinary tract. An early diagnosis, as well as appropriate management of lower urinary tract FBs, can significantly reduce complications. Surgical removal of lower urinary tract FBs can be safe and effective, and relatively better outcomes can be achieved.

Keywords: children; cystoscopy; foreign bodies; lower urinary tract; surgery.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Preoperative imaging data and foreign body. (A) US shows the bladder foreign body (see arrow). (B) CT of the pelvis shows the crooked foreign body in the bladder (see arrow). (C) Three-dimensional reconstruction CT shows the lumpy foreign body in the bladder (red mark). (D) Foreign body is a skipping rope about 50 cm long.
Figure 2
Figure 2
Preoperative imaging data and foreign body. (A) Plain film x-ray shows the urethral foreign body (see arrow). (B) CT of the pelvis shows the straight foreign body in the urethra (see arrow). (C) Three-dimensional reconstruction CT shows the straight foreign body in the urethra (red mark). (D) Foreign body is an acne needle about 10 cm long.
Figure 3
Figure 3
Preoperative imaging data and foreign body. (A) Plain film x-ray shows multiple small spherical foreign bodies in the bladder (see arrow). (B) CT of the pelvis shows the massive foreign body in the bladder (see arrow). (C) Three-dimensional reconstruction CT shows the stripe foreign body in the bladder (red mark). (D) Foreign bodies are multiple magnetic beads (partly).
Figure 4
Figure 4
Preoperative imaging data and foreign body. (A) Plain film x-ray shows the urethral foreign body (see arrow). (B) Foreign body is a hairpin about 6 cm long.
Figure 5
Figure 5
Algorithm for management of FBs in the lower urinary tract in pediatric patient.
See this image and copyright information in PMC

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References

    1. van Ophoven A, deKernion JB. Clinical management of foreign bodies of the genitourinary tract. J Urol. (2000) 164:274–87. 10.1097/00005392-200008000-00003 - DOI - PubMed
    1. Fath Elbab TK, Abdelhamid AM, Galal EM, Anwar AZ, Malek MA, Tawfiek ER. Management of intravesical self-inflicted sharp objects in children: 10-year single-center experience. J Pediatr Urol. (2016) 12(97):e1–5. 10.1016/j.jpurol.2015.06.020 - DOI - PubMed
    1. Fattahi B, Vahedi F, Kazem Aghamir SM. A rare case report of self-insertion of a foreign body inside the urethra with peritoneal perforation. Urol Case Rep. (2022) 45:102221. 10.1016/j.eucr.2022.102221 - DOI - PMC - PubMed
    1. He Y, Zhang W, Sun N, Feng G, Ni X, Song H. Experience of pediatric urogenital tract inserted objects: 10-year single-center study. J Pediatr Urol. (2019) 15(554):e1–554. 10.1016/j.jpurol.2019.05.038 - DOI - PubMed
    1. Kuwada M, Chihara Y, Torimoto K, Kagebayashi Y, Nakai Y, Samma S. Urethrovesical foreign body in adolescent boys: report of two cases. Nihon Hinyokika Gakkai Zasshi. (2009) 100:632–4. 10.5980/jpnjurol.100.632 - DOI - PubMed

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