Foreign bodies in the urinary bladder – report on two cases in Kumasi, Ghana

Main Article Content

KAA Appiah
POM Maison
CK Gyasi-Sarpong
CK Adofo
G Amoah
EMT Yenli
DA Mintah
A Otu
A Antwi-Kusi
RMK Djokoto

Abstract

Purpose: Foreign bodies (FBs) in the urinary bladder can pose major diagnostic and treatment challenges. They usually present as persistent or recurrent urinary tract infections which do not respond to antibiotics. FBs in the urinary bladder may be self-inflicted for autoerotic, psychiatric or therapeutic reasons by the patient. It may also be as a result of migration from adjacent organs or from penetrating trauma. The aim is to highlight the need for thorough urological evaluation in patients presenting with persistent or recurrent urinary tract infections post-abdominal or groin surgery.


Results: We present a 28-year-old man with nylon suture in the bladder and a 53-year-old woman with gauze in the bladder who presented at seven months post-hernia repair and one year post-abdominal hysterectomy respectively and were successfully managed at our centre They had similar clinical presentations of lower urinary tract symptoms, dysuria and recurrent gross haematuria following their respective surgeries.


Conclusion: Foreign body in the urinary bladder should be considered a differential diagnosis in any patient with persistent or recurrent urinary tract infections following any abdominal/groin surgical procedure.

Article Details

Section
Case Report
Author Biographies

KAA Appiah, Kwame Nkrumah University of Science and Technology

Department of Surgery, School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Ghana

POM Maison, University of Cape Coast

Department of Surgery, School of Medical Sciences, University of Cape Coast, Ghana

CK Gyasi-Sarpong , Kwame Nkrumah University of Science and Technology

Department of Surgery, School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Ghana

CK Adofo, Seventh Day Adventist Hospital

Seventh Day Adventist Hospital, Ghana

G Amoah, Komfo Anokye Teaching Hospital

Department of Surgery, Komfo Anokye Teaching Hospital, Ghana

EMT Yenli, University for Development Studies

Department of Surgery, University for Development Studies, Ghana

DA Mintah, Komfo Anokye Teaching Hospital

Department of Surgery, Komfo Anokye Teaching Hospital, Ghana

A Otu, Frimpong Boateng Medical Center

Frimpong Boateng Medical Center, Ghana

A Antwi-Kusi, Kwame Nkrumah University of Science and Technology

Department of Surgery, School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Ghana

RMK Djokoto, Kwame Nkrumah University of Science and Technology

Department of Obstetrics and Gynaecology, School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Ghana