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1: Southeast Asian J Trop Med Public Health. 2008 Mar;39(2):319-23.Links

An unusual case of urethral hiriduniasis.

Ahmad R, Baharuddin KA, Zaidin H, Mohidin MA, Kheng CP, Sidek N.

Department of Emergency Medicine, School of Medical Sciences, University Science of Malaysia, Health Campus, Kubang Kerian, Kelantan. shidee_ahmad@yahoo.com

Bleeding as the result of a leech in the male urethra is very rare. We describe a 13-year-old boy who had a leech in his urethra. In the emergency department he persistently squeezed his penis in an attempt to prevent the leech from going deeper into his urethra. Manual removal by forcep failed and cystoscopic removal was recommended. Penile block with lidocaine 1% relieved the pain and enabled him to squeeze his penis harder until the leech was pushed out making forcep removal easier. Post-removal he had hematuria and penile pain for 2 days. A description of his presentation and management, along with a review of the literature is presented.

PMID: 18564720 [PubMed - indexed for MEDLINE]