Technological breakthrough] Thermometer inserted into boy's urethra, removed by physician's hand

Date：2024-01-03
Click：3629Times

Recently, Liaocheng City, a hospital urology ward clever application of endoscopic diagnostic and treatment technology, for a child to relieve the pain of unspeakable.
Midnight, a 12-year-old boy was brought to Liaocheng City Second Hospital urology ward by his parents in a hurry, both parents look panicked, “doctor, the child stuffed the thermometer into the urethra!”. The parents were in a panic. Hu Jinding deputy chief physician viewed the child learned that the child because of naughty curiosity, accidentally more than 10 centimeters of the thermometer into the urethra, the body found that the urethra can not be seen at the mouth of the thermometer, only in the back of the scrotum can be touched at the end, Hu Jinding for the child issued a urological plain film examination confirmed that the thermometer is indeed located in the back of the urethra, partially into the bladder. In the face of anxious parents, Hu Jinding patiently explained the condition and provided two surgical options: one is open surgery cystotomy, which is more traumatic; the other is transurethral endoscopic removal, which is a minimally invasive surgery without surface incision. Considering the young age of the child, Hu Jinding communicated with the family and decided to use the second surgical option for the child to minimize the damage to complete the surgery. However, the foreign body was a thermometer, which was made of glass, fragile and smooth, not suitable for clamping, and contained mercury, once broken, not only the mercury spillage and glass fragments are more difficult to take out, and the male urethra is longer, there are two natural curvature, which puts forward a higher demand for surgical operation.

Under the guidance of the department head, Dr. Shi Ruji, chief physician, and Dr. Cheng Zhen, deputy chief physician, a detailed surgical plan was formulated after thorough discussions in the department and repeated rehearsals of each step of the operation and possible situations. With the great assistance of anesthesiologists and nurses in the operating room, the operation was performed by Dr. Hu Jinding, deputy chief physician. Considering that the urethra of the child was thin, the ureteroscope was applied during the operation, and the thermometer was found to be located in the posterior urethra after going into the mirror, and the surface was smooth, which could not be held by an ordinary foreign body clamp, so the stone basket was replaced, and after repeated attempts and constant adjustments, it was clamped, and then the thermometer was removed out of the body slowly, and it was seen to be intact. The thermometer was intact, and the urethral mucosa was again observed without obvious damage. The operation was completed in a very short time, and the patient was discharged from the hospital the next day.

Hu Jinding deputy chief physician reminds us that there are many kinds of urethral foreign objects, common wire, pencil, rope, nails, broken urethra, etc., the reason for putting a foreign object is mostly out of curiosity, the pursuit of stimulation. Foreign body into the urinary bladder, can cause urethral injury, obstruction, infection, cause hematuria, urinary pain, urinary retention, urinary fistula, etc., sharp foreign body can even puncture the bladder urethra into the intestines, pelvis, serious life-threatening. If the foreign body is retained for a long time, it can cause bladder urethra stones, recurrent urinary tract infections, urethral stenosis, and may also induce bladder cancer. If you are unfortunate enough to have a foreign body in your urethra, you should go to a regular hospital immediately.

(Contributed by Zhai Liran)

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