Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights
Background/Objectives: An electric wire inserted into the bladder or urethra presents a specific challenge that is frequently encountered in such cases: the potential formation of a tight knot, making extraction nearly impossible. The primary objective of this study was to share our personal experie...
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MDPI AG
2024-12-01
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| Online Access: | https://www.mdpi.com/2075-4418/14/24/2825 |
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| author | Daniel Porav-Hodade Raul Gherasim Ciprian Todea-Moga Tibor Reman Bogdan Ovidiu Feciche Kosza Hunor Madalin Guliciuc Mártha Orsolya Katalin Ilona Ioan Coman Nicolae Crisan |
| author_facet | Daniel Porav-Hodade Raul Gherasim Ciprian Todea-Moga Tibor Reman Bogdan Ovidiu Feciche Kosza Hunor Madalin Guliciuc Mártha Orsolya Katalin Ilona Ioan Coman Nicolae Crisan |
| author_sort | Daniel Porav-Hodade |
| collection | DOAJ |
| description | Background/Objectives: An electric wire inserted into the bladder or urethra presents a specific challenge that is frequently encountered in such cases: the potential formation of a tight knot, making extraction nearly impossible. The primary objective of this study was to share our personal experience with patients who had intravesical electric cable insertions and to provide an extensive literature review, offering detailed insights into the various strategies reported for managing such foreign body cases. Methods: Of the four cases with a foreign body in the lower urinary tract, two involved patients aged 19 and 53, respectively, who had inserted an electric cable. During their attempt at self-removal, they developed an intravesical knot, as confirmed by radiographic imaging. Results: In the first case, a bipolar approach was used: a cystoscope was inserted transurethrally into the bladder alongside the cable, while a laparoscopic trocar was introduced suprapubically. Using laparoscopic scissors, the cable was successfully cut and removed. In the second case, due to the cable’s size, a direct cystotomy was performed. At the 3-month follow-up, the uroflowmetry results were normal for both patients. A psychiatric evaluation revealed no abnormalities in the first patient, while the second patient was diagnosed with polyembolokoilamania. Conclusions: The removal of self-inserted electric cables from the urethra and bladder is a challenging procedure, often requiring the urologist’s creativity to prevent potential complications. Many cases can be resolved endoscopically; however, even this minimally invasive approach must be tailored to each case to provide the most suitable solution for the patient. |
| format | Article |
| id | doaj-art-5f0f545e26af4d9d887e66e5dc8df9d5 |
| institution | DOAJ |
| issn | 2075-4418 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-5f0f545e26af4d9d887e66e5dc8df9d52025-08-20T02:53:43ZengMDPI AGDiagnostics2075-44182024-12-011424282510.3390/diagnostics14242825Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature InsightsDaniel Porav-Hodade0Raul Gherasim1Ciprian Todea-Moga2Tibor Reman3Bogdan Ovidiu Feciche4Kosza Hunor5Madalin Guliciuc6Mártha Orsolya Katalin Ilona7Ioan Coman8Nicolae Crisan9Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, RomaniaDepartment of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, RomaniaDepartment of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, RomaniaDepartment of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, RomaniaDepartment of Urology, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, RomaniaClinic of Urology, Miercurea Ciuc County Hospital, 530173 Miercure Ciuc, RomaniaDepartment of Surgery, Faculty of Medicine, “Dunarea de Jos” University Galati, 800201 Galati, RomaniaDepartment of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, RomaniaDepartment of Urology, Iului Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Urology, Iului Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaBackground/Objectives: An electric wire inserted into the bladder or urethra presents a specific challenge that is frequently encountered in such cases: the potential formation of a tight knot, making extraction nearly impossible. The primary objective of this study was to share our personal experience with patients who had intravesical electric cable insertions and to provide an extensive literature review, offering detailed insights into the various strategies reported for managing such foreign body cases. Methods: Of the four cases with a foreign body in the lower urinary tract, two involved patients aged 19 and 53, respectively, who had inserted an electric cable. During their attempt at self-removal, they developed an intravesical knot, as confirmed by radiographic imaging. Results: In the first case, a bipolar approach was used: a cystoscope was inserted transurethrally into the bladder alongside the cable, while a laparoscopic trocar was introduced suprapubically. Using laparoscopic scissors, the cable was successfully cut and removed. In the second case, due to the cable’s size, a direct cystotomy was performed. At the 3-month follow-up, the uroflowmetry results were normal for both patients. A psychiatric evaluation revealed no abnormalities in the first patient, while the second patient was diagnosed with polyembolokoilamania. Conclusions: The removal of self-inserted electric cables from the urethra and bladder is a challenging procedure, often requiring the urologist’s creativity to prevent potential complications. Many cases can be resolved endoscopically; however, even this minimally invasive approach must be tailored to each case to provide the most suitable solution for the patient.https://www.mdpi.com/2075-4418/14/24/2825electric cableknotbladderurethralaparoscopypolyembolokoilamania |
| spellingShingle | Daniel Porav-Hodade Raul Gherasim Ciprian Todea-Moga Tibor Reman Bogdan Ovidiu Feciche Kosza Hunor Madalin Guliciuc Mártha Orsolya Katalin Ilona Ioan Coman Nicolae Crisan Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights Diagnostics electric cable knot bladder urethra laparoscopy polyembolokoilamania |
| title | Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights |
| title_full | Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights |
| title_fullStr | Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights |
| title_full_unstemmed | Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights |
| title_short | Electric Wire in the Urinary Bladder: Surgical Challenges and Comprehensive Literature Insights |
| title_sort | electric wire in the urinary bladder surgical challenges and comprehensive literature insights |
| topic | electric cable knot bladder urethra laparoscopy polyembolokoilamania |
| url | https://www.mdpi.com/2075-4418/14/24/2825 |
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