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Poster - 227
Foreign body in the lower urinary tract in childhood : Ethernet cable / a case report
Mustafa Emre 1, Halis Can Demirtürk 2, İlyas Halil Aydın 1, Taner Ceylan 2, Derya Erdoğan 1
1 Ankara Etlik City Hospital, Department of Pediatric Surgery
2 Ankara Etlik City Hospital Division of Pediatric Urology
Introduction
Foreign bodies in the lower urinary tract are rare in children. Such cases typically arise from mental disorders, iatrogenic injuries, trauma, migration from nearby anatomical structures, self-satisfaction actions or sexual abuse. We present a case in guidance with the literature : A 13-year-old male with a foreign body that was inserted from his urethra into the bladder, requiring open surgery.
Case Presentation
A 13-year-old male admitted to Pediatric Emergency Room with complaints of foreign body in the urethra, hematuria and pain. An ethernet cable was inserted into his urethra for sexual satisfaction, however, he was unsuccessful to remove it. On physical examination, disintegrated end of the cable was detected out of the external urethral meatus. Direct urinary system radiography (DUSG) revealed that the other end was in the bladder with its whole integrity. Since the cable was quite long, we decided to re-examine under anesthesia and then remove it surgically. We palpated two knots on the cable; one in the midpenile urethra and the other below the penoscrotal junction. Therefore, we performed open urethrostomy and cystostomy to cut these knots and to remove the cable. The cable was measured 113 centimeters. After closing urethrostomy and cystostomy, procedure was terminated. Postoperatively, the patient was also consulted to psychiatry clinic. He was diagnosed as impulsive suicide attempt and was started oral medication.
Conclusion
In children, urethral foreign bodies are rare and uneasy to manage. Localization, shape and size are important factors in treatment plan. Although endoscopic procedures are mostly preferred for the removal, open surgery may also be required as in our case. Urethral strictures may also develop postoperatively even after complete removal. In pediatric cases, it is also crucial to consider the patient physiologically, psychologically and socially to prevent recurrence.