A large variety of foreign body was described at the level of bladder. Even the diagnostic is no difficult, especially with the radiological methods, the treatment can be a challenging problem for the urologist for safely and minimalinvasive removal of this foreign body.

A 22-year-old male was reffered to our emergency room for a acute urinary retention due to the presence of a foreign body at the level of uretra. Clinical exam and pelvis radiography present an opac structure with a knot at the bladder neck level makeing extraction of the cable impossible. Cystoscopic exam confirm the radiological image. A 10 mm laparoscopic trocar was introduced suprapubically and a 10 mm scissor cut the electric cable and his knot under a cystoscopic control. The electric cable was extract via laparoscopic trocar with the 10 mm laparoscopic forceps. An 18 ch urethro-vezical catheter and a Retzius drainage tube at the percutaneous approach point was inserted.

Operative time was 30 minutes. No major analgesic therapy was required. The Retzius drainage tube was extracted the next day and the patient was released the second postoperative day. A prophylactic antibiotic treatment was maintained 10 postoperatory days. Urethro-vesical drainage tube was extracted 7 after the surgical intervention.

Bladder foreign body extraction-an electric cable in this case-can be performed by a bipolar approach transurethral and suprapubic, combaining the laparoscopy and cystoscopy advantages.