If you’ve heard about the case of the Australian man who needed emergency removal of the he’d inserted into his urethra, then it’s likely your eyes will still be watering. , ten days later, he required follow-up surgery for penile tissue necrosis caused by the battery burns.
Author
Adam Taylor
Professor and Director of the Clinical Anatomy Learning Centre, Lancaster University
The urethra is the tube through which urine is expelled from the body. It is typically and in females and averages in length and in males.
The presence of foreign bodies, particularly batteries, in the urethra is not new. There are cases where larger and batteries have been removed, as well as other objects such as , .
There is a higher incidence of men inserting foreign bodies into cavities . But objects such as and sex toys the length of the female urethra have been found in the bladder.
Insertion of foreign bodies and catheters into the urethra can result in damage, which causes longer term issues such as . Scar tissue , makes it difficult to urinate, – and objects can travel up to the .
Small and sweet-like: button batteries appeal to curious kids
The most common button battery injuries, however, are related to ingestion rather than insertion.
Button batteries are notoriously attractive to children. They’re small – only 5-25mm in diameter – round, shiny and can be easily mistaken for a sweet. Button batteries account for the in the US but it’s .
The signs of button battery ingestion can be difficult to recognise until it’s too late. Ingestion causes non-specific symptoms, including and . All of which can be easily mistaken for common childhood illnesses if the ingestion is not witnessed by anyone.
Once swallowed, these batteries, especially those that are , often become lodged in the oesophagus where it narrows. Within two hours the batteries can begin to cause irreparable damage.
Moist body tissues cause the battery to between the positive and negative poles, producing sodium (or potassium) hydroxide at the negative pole, making . This alkaline substance is highly corrosive and burns the oesophageal lining before continuing deeper.
Burns can occur in to , passing through to neighbouring tissues in as . The more charge left in the battery, the quicker this occurs.
Erosion of tissues can progress to at the of the oesophagus. Batteries lodged at any of these sites – including the opening of the oesophagus, the point where the oesophagus crosses the aorta (the main artery of the body), the left main bronchus (the tube taking air to the left lung) and where the oesophagus enters the stomach – will cause burning and , and .
Alternatively a tunnel can burn through to the trachea, creating that results in . Similar issues can occur when batteries are inserted into the nasal cavity, and cause .
Batteries that make it to the stomach pose less risk – unless they are . After this time, stomach acid may begin to corrode parts of the battery causing the caustic contents to leak and lead to internal burning. The more batteries are ingested, the higher the risk of becoming .
When they end up where they shouldn’t, batteries in the body can be agonising – and even deadly – but there are other instances where the presence of batteries in the body is a necessity.
Not all batteries are health hazards
It’s over 75 years since the installation of the first implantable cardiac pacemaker in a patient. Its nickel-cadmium batteries required charging . Over time, pacemakers have advanced to lithium-iodide batteries, which have lifespans of to years.
may not be too far away, converting the electrical energy of heartbeat back into stored energy for the pacemaker. These pacemakers utilise a to maintain the rhythm of the heartbeat.
Those with severe issues may need an (ICD), which delivers a much to ensure hearts with serious irregularities don’t suddenly stop.
Implantable devices such as pacemakers, ICDs, for fracture repair and for chronic pain use a variety of . Many of these devices have batteries located at the surface, beneath the skin, with to the organ they control or support. This enables performance monitoring, reduces potential for tissue damage and allows batteries to be changed easily.
The major exception is ingestible devices, such as which use a for the camera. Unlike lithium batteries, the silver battery based system is not prone to an known as . This is important, given that the camera pills are swallowed and pass all the way through the gastrointestinal system.
All implantable device batteries are stringently tested and regulated by . So problems are connected to , which means they don’t last as long as hoped, rather than tissue damage.
The biggest risk from the batteries of these implanted devices actually : they can explode if not removed from a body prior to cremation. The elements in the battery form a gas, which reacts at sustained high temperatures to blow apart the battery casing, all of the battery’s energy.
Batteries used in approved devices offer quality of life to millions around the world, but batteries in places they shouldn’t risk serious injury and death.
Adam Taylor does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
