Treatment of a complete lower urinary tract obstruction secondary to an expandable foam sealant.
We present a unique case of an iatrogenic complete lower urinary tract obstruction with an expandable foam sealant. A 41-year-old man presented in urinary retention 36 hours after self-injecting his urethra with the foam sealant, which could be palpated throughout his entire urethra. The sealant was removed from the distal urethra in numerous fragments with a hemostat and cystoscopically. A perfect mold of the bladder and prostatic urethra were removed by suprapubic cystotomy. Cystoscopy 2 months later demonstrated a mild bulbar urethral stricture, but normal bladder mucosa. The cystoscopy at 6 months was normal.
Kim
Edward D
ED
Department of Surgery, Division of Urology, University of Tennessee Medical Center, Knoxville, Tennessee 37920, USA.
Moty
Ayham
A
Wilson
D Douglas
DD
Zeagler
Deborah
D
D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications / Q000523:psychology; D003559:Cystostomy / Q000379:methods; D005547:Foreign Bodies / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010262:Paraphilic Disorders / Q000523:psychology; D016728:Self-Injurious Behavior / Q000523:psychology; D014524:Urethral Obstruction / Q000209:etiology / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology / Q000601:surgery*; D014551:Urinary Tract / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods