[kellyhound]

Malawi, A male (53), who checked himself into the Hospital with three hours history of protruding foreign body per urethral opening. Patient's medical records and reports suggested that three weeks earlier he had undergone open prostatectomy.

He reported that he had fairly uneventful postoperative period and was discharged home 10 days later. He had no catheter at time of discharge.

Nine days after discharge, he developed acute urine rentation which necessitated suprapubic puncture and catheterization. There after he was referred to the Hospital.

However, before his arrival to the Hospital, he started experiencing migratory excruciating urethral pain which was associated with burning sensation and an intense urge to void.

Initially pain was more marked around the root of the penis and later kept on migrating towards the anterior urethra. Two days later, he was shocked to note a white plastic object protruding per his urethral opening.

On examination, medics saw a middle aged man, anxious, well oriented, afebrile, not pale, and had no pedal oedema. Local examination of the genitalia revealed a conical shaped plastic object protruding per urethral meatus, otherwise normal genitalia.

Per abdomen, he had an indwelling suprapubic catheter, with midline sub umbilical incisional scar. Urinary bladder was not distended. The rest of abdominal examination was normal and the other systemic examination was unremarkable.

Laboratory work up revealed mild elevation of blood urea and creatine. Urinalysis revealed many pus cells with insignificant bacterial growth.

The patient was prepared for emergency surgery whereby simple meatotomy was performed and the foreign body was easily removed.

The foreign body turned out to be a cap of 60 ml irrigation syringe which was inadvertently forgotten inside the urinary bladder during open prostatectomy. The syringe cap gradually migrated towards the anterior urethra.

It was conical shaped with wider base diameter than the apex, a factor that may have prevented spontaneous expulsion and instead got stuck in the meatus.

Patient had quick and uneventful recovery. Follow up visits, two years later revealed no urethral or meatal stricture.

[mintycbo]

I thought my new job back in the kitchen cooking was a pain in the dick?

[TypeOnegative]

That must have been fucking horrible. I thought kidney stones and a cystectomy was fucking bad, but this is the worst. That could have infected real bad and killed him. Yuck

[vagabond]

Poor man...

[FavaBeans]

Lawsuit City...he should capitalize on this shit