Man, 42, who found it painful to urinate and ejaculate, removed a BULLET from his bladder 18 years after his shot
- American patient, from Connecticut, had trouble urinating and ejaculating pain
- Shot in 1990, but never removed bullet for fear that it would do more harm than good
- Over time, the bullet eroded through the bladder wall and got stuck in its organ
A man who found it painful to urinate and ejaculate has removed a bullet from his bladder, doctors have revealed.
The 42-year-old from Connecticut was in pain when he went to the toilet or ejaculated for a year before seeking help.
It turned out that the unidentified patient was shot in the bladder in 1990 – but the bullet was never removed because surgeons had no access to it without harming him.
Doctors who treated him said that over time a blowstone grew around the bullet and eroded through the wall of the organ and got stuck.
A 42-year-old man who had difficulty going to the doctor was told that it was caused by a bullet that had been in his bladder for 18 years (file image)
The ball fragment was safely removed and measured about 30x25mm, doctors who treated it wrote in a medical journal.
Joanna Marantidis, who is based at the Frank H Netter MD School of Medicine at Quinnipiac University, published the story in Urology Case Reports.
Doctors said that at the time of the shooting, the man needed a catheter – a tube that is led into the bladder to drain urine.
It helped him go to the bathroom for a few weeks before he fully recovered and had no problems for almost two decades.
But in the last year he started getting pain on the right side of his bladder and his urine would cut off randomly when he went to the toilet.
When he arrived with symptoms, doctors performed a cystoscopy – a procedure to look into the bladder with a thin camera – and found the bullet.
WHAT IS THE DIFFERENCE BETWEEN A CYSTOLITHOLAPAXIA AND A CYSTOLITHOTOMY?
Both are used to treat bladder stones – hard lumps of minerals that can form in the bladder when it is not completely empty of urine.
In a cystolitholapaxia, an instrument called a cystoscope is inserted into the bladder to locate the bladder stone or stones.
The cystoscope is a long, narrow tube with a small camera at one end.
It is connected to a stone crusher, which uses laser energy or ultrasonic waves to break the stones into smaller fragments.
A cystolithotomy is the surgical removal of bladder stones through a lower incision in the abdomen.
It is normally used when a cystolitholapia has not removed the stones.
They anesthetized the patient and performed a cystolitholapaxia.
The medical procedure involves the use of a stone crusher with lasers or ultrasonic waves to break bladder stones into smaller fragments.
The doctors used a laser to shave the bullet, eroding the outer layer of rock.
But the inner part of the stone proved difficult to break off. Bullet waste and rock material were recovered when the patient subsequently urinated.
The remaining ball fragment had sharp edges and would have caused damage if it had passed through the bladder neck and urethra.
The patient returned to the operating room for an open cystolithotomy – the surgical removal of bladder stones through a lower abdominal incision.
The incision was closed in two layers and the bullet was handed over to the police when it was extracted.
Doctors noted that current research recommends that surgeons remove ball fragments in joints, vessels, or around the eye to prevent more damage along the line.
But they acknowledge that there is limited data on whether they should be removed to prevent long-term complications elsewhere.
Advisor-urologist Dr. Rich Viney, based at the Bladder Clinic in Birmingham, told MailOnline: & # 39; This is an unusual case, but not unique.
& # 39; When faced with a foreign object, the body will initially walk it off with scar tissue.
& # 39; It will then slowly push it to the nearest external surface to expel it from the body. Normally this has long been the entry route that is being taken by the foreign object.
& # 39; In this case, the bullet went through the bladder, so it is no surprise that it was driven back into the bladder through the channel.
& # 39; The time span for these types of processes is variable, but can often be measured in years. Once in the bladder it can pass through the urethra if it is small enough. & # 39;
He added: & # 39; If it is not small enough, there will be stone in the bladder and crystals will form on the surface that form a bladder stone. & # 39;
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