Complete endoscopic management of a retained bullet in the bladder

Authors

  • Ariella A. Friedman Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan, USA
  • Quoc-Dien Trinh Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan, USA and Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Canada
  • Sanjeev Kaul Department of Urology, Oakland University School of Medicine, Detroit, Michigan, USA
  • Akshay Bhandari 4Department of Urology, Columbia University, New York, NY, USA

DOI:

https://doi.org/10.5489/cuaj.258

Keywords:

Gunshot, Trauma, Bullet, Bladder perforation, Nephroscope

Abstract

A 25-year-old male gunshot victim presented at our institution with gross hematuria following Foley catheter insertion. Computed tomography and cystogram did not show a bladder perforation, but were notable for a left ischial fracture and the presence of a bullet within the bladder. After failed attempts at retrieving the bullet with a resectoscope and loop, as well as a cystoscope and stone crusher, a 26 French nephroscope was inserted transurethrally, and the bullet was successfully engaged and removed using a Perc NCircle (Cook Medical, Bloomington, IN) grasper. The extraperitoneal injury was managed conservatively with catheter drainage. To our knowledge, this represents the first case of successful transurethral management of a retained intravesical bullet. Such an approach may benefit patients with retained intravesical bullets or other challenging intravesical foreign bodies and may be helpful in select circumstances to spare patients from more extensive surgeries.

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Published

2013-02-20

How to Cite

Friedman, A. A., Trinh, Q.-D., Kaul, S., & Bhandari, A. (2013). Complete endoscopic management of a retained bullet in the bladder. Canadian Urological Association Journal, 7(1-2), E143–5. https://doi.org/10.5489/cuaj.258

Issue

Vol. 7 No. 1-2 (2013): CUAJ February

Section

Case Report

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