A case of a foreign body (sheath dilator) in the urethra and bladder
Okumura, A.; Tsuritani, S.; Yamauchi, H.; Fuse, H.
Hinyokika Kiyo. Acta Urologica Japonica 57(12): 701-703
2011
ISSN/ISBN: 0018-1994 PMID: 22240305 Document Number: 653906
An 84-year-old man presented with the chief complaints of fever and disturbance of consciousness at another hospital. A sheath dilator had been inserted into the urethra instead of an indwelling catheter at the hospital. Since he had previously been treated for myelodysplastic syndrome in our Department of Internal Medicine, he was transferred to our hospital. He presented at our Department with the chief complaints of urinary difficulty and lower abdominal fullness. Kidney-ureter-bladder x-ray and computed tomography revealed the sheath dilator in the uretha and bladder. First, we performed a percutaneous cystostomy under local anesthesia. Second, we utilized optical forceps and successfully removed the sheath dilator transurethrally under intravenous anesthesia.