TY - EJOU AU - Kodres–O’Brien, Sarah M. AU - Koellermeier, Mackenzie AU - Shah, Nayan AU - Langenstroer, Peter TI - Management of retained bullet fragments from posterior urethra after gunshot wound: a case report T2 - Canadian Journal of Urology PY - 2026 VL - 33 IS - 2 SN - 1488-5581 AB - 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. KW - bladder trauma; foreign body; endoscopic surgery; gunshot wound; case report DO - 10.32604/cju.2025.069550