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July 11, 1977

Urinary Tamponade Due to a Tampon

JAMA. 1977;238(2):126. doi:10.1001/jama.1977.03280020030005

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To the Editor.—  A myriad of foreign bodies have been recovered from the bladder that have either been inserted intentionally or inadvertently, and every urologist has his own tale to tell. Considering the number of women who insert intravaginal tampons during their menstrual cycle, it is surprising that more cases similar to the following have not been reported.

Report of a Case.—  A 21-year-old female college student was admitted in acute urinary retention. Several hours previously she had inserted a tampon into what she believed to be the vagina. On examination, two strings were noted to be protruding through the urethral meatus. In addition, there was a very pronounced hymenal ring compatible with a virginal state.The patient was taken to the operating room and, under general anesthesia, cystoscopy was performed. Two strings lay along the course of the urethra and a large, expanded tampon was seen within the bladder.