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Urology, Nephrology and Andrology International

Volume  6, Issue 1, January-June 2021, Pages 15-17


Case Report

Left-out Suprapubic Cystostomy Cannula Tip at Urethra: A Rare Case Report
Saurav Karmakar1, Parthapratim Das2, Tapan Kumar Manadal3, Asim Kumar Das4
1,4Post Doctoral Trainee, 2Assistant Professor, 3Professor and Head of the Department, Department of Urology, Nil Ratan Sircar Medical College & Hospital, Kolkata, West Bengal 700014 India.
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Foreign bodies of the urethra and bladder has a low incidence. Most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. This case warrants discussion given the great management challenge faced by the oddity and infrequency with which a left out suprapubic cystostomy cannula tip is encountered in the penile urethra. On cystoscopy in a 54 yr patient with acute urinary retention (AUR) and suprapubic catheter (SPC) in situ, the sharp pointed detached cannula tip was found in the urethra. The object was removed endoscopically under local anaesthesia using some special techniques. Introduction: Foreign bodies of the urethra and bladder are seldom seen in clinical urologic practice with iatrogenic injury, self-insertion, and rarely migration from adjacent sites.1 Foreign bodies are most commonly inserted into the urinary tract by psychiatric, intoxicated, confused, or sexually curious patients. Treatment is focused on foreign body extraction, diagnosing complications, and avoiding compromise of erectile function. With advances in endourology, the majority of cases can now be managed endoscopically.2 Here is a description of a very rare case of SPC cannula tip at urethra which was incidentally found during cystoscopic examination and subsequently removed endoscopically.

Keywords: Suprapubic; Systostomy; Catheter.

Corresponding Author : Saurav Karmakar