Open AccessHolmium laser-assisted endoscopic extraction of a fishhook from the male urethra
Author(s) -
Hui Ming Chung,
Sheng Hsuan Chen
Publication year - 2012
Publication title -
urological science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 8
eISSN - 1879-5234
pISSN - 1879-5226
DOI - 10.1016/j.urols.2012.03.003
Subject(s) - medicine , urethra , forceps , cystoscopy , urethrotomy , dysuria , urethral stricture , cystoscope , surgery , urothelium , urology , anatomy , urinary bladder , urinary system
A man 37 years of age presented with frequency and dysuria. Rigid cystoscopy revealed the presence of a fishhook in the anterior urethra. Initial attempts to remove the fishhook in one piece by forceps or a basket were unsuccessful. The fishhook was cut into two pieces using a holmium laser via a 9-Fr ureteroscope and removed by forceps. The anterior urethra experienced a minor tear during the procedure. He voided well without significant urethral stricture 6 months postoperatively. An open urethrotomy is usually indicated for unsuccessful endoscopic removal of foreign bodies from the male urethra, which often leads to recurrent urethral stricture. The novel use of a holmium laser to facilitate the endoscopic removal of a fishhook from the male urethra may reduce the risk of postoperative urethral stricture