“A button in my Benjamin” – Self-inflicted insertion of button batteries into the male urethra: Management and complications

We present a case of self-insertion of multiple button batteries into the urethra. Button batteries are corrosive and tissue liquefaction and necrosis can occur within 2 hours. Emergent removal, intravenous antibiotics, suprapubic and indwelling catheter insertion and close monitoring are required t...

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Bibliographic Details
Main Authors: Brendan Akihiko Yanada, Elena Galiabovitch, Todd Manning, Brendan Hermenigildo Dias, Reshi Suthakaran, Henry Yao
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S221444202400007X
Description
Summary:We present a case of self-insertion of multiple button batteries into the urethra. Button batteries are corrosive and tissue liquefaction and necrosis can occur within 2 hours. Emergent removal, intravenous antibiotics, suprapubic and indwelling catheter insertion and close monitoring are required to prevent further tissue injury. In our case, the batteries were removed with stent grasper forceps. There was extensive caustic circumferential injury to the urethral mucosa on cystoscopic examination. This was complicated by periurethral necrosis and abscess, requiring urgent incision and debridement. No reconstruction was performed due to the very high risk of graft failure.
ISSN:2214-4420