Obstet Gynecol Sci.  2020 Sep;63(5):679-681. 10.5468/ogs.20121.

Minimally invasive search for a missing vibrator

Affiliations
  • 1The Marchand Institute for Minimally Invasive Surgery, Mesa, USA
  • 2Star Urogynecology, Peoria, AZ, USA
  • 3Department of Medicine, Washington University of Health and Science, San Pedro, Belize
  • 4Department of Medicine, International University of Health Sciences, Basseterre, Federation of Saint Kitts and Nevis
  • 5Department of Medicine, Midwestern University School of Medicine, Glendale, AZ, USA

Abstract


Objective
To report a unique surgical procedure that was utilized to locate a missing vibrator in the pelvis of a patient. Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff of hospitals in the United States usually are skilled in the detection and removal of these devices. Occasionally, surgical intervention is warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. We report a case of a vibrator that was lost during sexual activity. A flat plate X-ray showed it to be in the abdominal cavity. Careful questioning of the patient revealed that the device had an unusually small diameter. Surgical intervention showed that the device ultimately ended up in the bladder without causing traumatic injury.
Methods
We created a narrated video to demonstrate the surgical procedure (Canadian Task Force Classification III).
Results
Laparoscopy and cystoscopy were used to visualize and successfully remove the device. The patient recovered uneventfully.
Conclusion
Following laparoscopic confirmation of the location of the device, it was removed via cystoscopy. This case demonstrates how background information, such as the size of the missing device in this case, can be critical to providing high quality patient care.

Keyword

Cystoscopy; Laparoscopy; Foreign bodies; Vibrator
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