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作 者:Claris Oh Darcy Noll Athul John Matthew Hong
机构地区:[1]Urology Unit,Flinders Medical Centre,Bedford Park 5042,Australia [2]College of Medicine and Public Health,Flinders University,Bedford Park 5042,Australia [3]University of Adelaide,Adelaide 5000,Australia
出 处:《Asian Journal of Andrology》2025年第2期185-188,共4页亚洲男性学杂志(英文版)
摘 要:The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who presented with selfinserted genitourethral foreign body to adult tertiary centers within our local health network(Southern Adelaide Local Health Network,Adelaide,Australia)from October 2002 to October 2022.Patient demographics,type of foreign body,psychiatric comorbidities,retrieval techniques,complications,and readmission data were extracted.Twenty-seven cases were identified with a median age of 44 years.Twenty-three(85.2%)were male and 4(14.8%)were female.Ten patients(37.0%)had a concurrent psychiatric illness.The most commonly inserted foreign bodies were plastic tubes/wires(29.6%).Twenty cases(74.1%)were retrieved endoscopically.Three patients(11.1%)required open cystotomy and one underwent a transperineal urethrotomy.Four patients(14.8%)represented after discharge.Two patients had repeat presentations for genitourinary foreign body insertion.A significant monotonic positive trend of foreign body presentations was identified(Mann–Kendall tau=0.95,P=0.043).Presentations of genitourethral foreign body insertions have trended upward over the past two decades.However,most cases were successfully managed endoscopically.
关 键 词:foreign body genitourinary tract rigid cystoscopy urinary tract
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