title: [Urethral Fistula Caused by an Urethrovesical Foreign Body : A Case Report].
abstract: A 68-year-old man presented with the chief complaint of swelling of the penis. A pencil had been inserted into his urethra by a commercial sex worker for sexual stimulation. On a computed tomography (CT) scan, a foreign object was visible throughout the urethra and in the urinary bladder. Cystoscopy performed under spinal anesthesia showed a pencil in the urethra. We attempted removing the object endoscopically by using a Holmium laser. However, the endoscopic procedure failed and finally, we removed the object by transvesical open surgery. At the same time, suprapubic cystostomy was performed for the disorder of the urethra. An anterior urethrocutaneous fistula was formed 5 days after the operation. After removal of the urethral catheter, he was managed with only suprapubic cystostomy. Conservative management of the urethrocutaneous fistula was effective. The fistula was completely closed 26 days after the operation. He was discharged 33 days after the operation.
authors: The Department of Urology, Tane General Hospital.
authors: Takashi
authors: T
authors: Iwamoto
authors: The Department of Urology, Tane General Hospital.
authors: Yukinari
authors: Y
authors: Hosokawa
authors: The Department of Urology, Tane General Hospital.
authors: Kenji
authors: K
authors: Otsuka
authors: The Department of Urology, Tane General Hospital.
authors: Chie
authors: C
authors: Matsushita
authors: The Department of Urology, Tane General Hospital.
authors: Yoshiki
authors: Y
authors: Hayashi
authors: The Department of Urology, Nara Medical University.
authors: Kenta
authors: K
authors: Onishi
authors: The Department of Urology, Nara Medical University.
authors: Kiyohide
authors: K
authors: Fujimoto
mesh_terms: D000368:Aged; D000072700:Conservative Treatment; D017577:Cutaneous Fistula / Q000209:etiology* / Q000628:therapy; D003558:Cystoscopy; D053715:Cystotomy; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology* / Q000628:therapy; D001743:Urinary Bladder / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology* / Q000628:therapy; D013521:Urologic Surgical Procedures, Male / Q000379:methods