Management of retained bullet fragments from posterior urethra after gunshot wound: a case report.

Abstract

Background: Retained bullet fragments in the genitourinary tract following gunshot wound is rare and require removal.

Case description: We present the case of a retained bullet in the prostate following a gunshot wound to the pelvis, which was endoscopically removed. A urethral catheter and suprapubic tube were placed. The patient then had migration of a second bullet fragment into the prostatic urethra six weeks later, requiring open removal.

Conclusions: This case shows that several approaches can be considered to remove retained bullet fragments from the urinary tract. Furthermore, access to the bladder via a suprapubic tube can be beneficial.