Retained Bullet in the Prostate Causing Lower Urinary Tract Symptoms

A 41-year-old man presented with a 5-month history of bothersome urinary urgency and frequency. He sustained a gunshot wound to the lower abdomen 15 months prior to presentation. Digital rectal examination revealed a metallic foreign body palpable within the right lobe of the prostate, which was sug...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2020-07, Vol.141, p.e27-e27
Main Authors: Asanad, Kian, Nabhani, Jamal, Nassiri, Nima, Ashrafi, Akbar N.
Format: Article
Language:English
Subjects:
Adult
Foreign Bodies - complications
Humans
Lower Urinary Tract Symptoms - etiology
Male
Prostate - injuries
Wounds, Gunshot - complications
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Description
Summary:A 41-year-old man presented with a 5-month history of bothersome urinary urgency and frequency. He sustained a gunshot wound to the lower abdomen 15 months prior to presentation. Digital rectal examination revealed a metallic foreign body palpable within the right lobe of the prostate, which was suggestive of a retained bullet fragment within the prostate gland. Cystourethroscopy confirmed a bullet fragment lodged within the right lateral aspect of the prostatic urethra. X-ray of the pelvis illustrated 2 radiopaque foreign bodies projecting at the level of the pubis. The patient deferred surgical retrieval and opted for pharmacological management with anti-cholinergic medication.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2020.04.014