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

Sarah M. Kodres–O’Brien^*, Mackenzie Koellermeier, Nayan Shah, Peter Langenstroer
Department of Urology, Medical College of Wisconsin, Milwaukee, WI 53226, USA
* Corresponding Author: Sarah M. Kodres–O’Brien. Email: email

Canadian Journal of Urology https://doi.org/10.32604/cju.2025.069550

Received 25 June 2025; Accepted 22 September 2025; Published online 22 October 2025

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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.