Medical professionals in Nepal were left stunned after discovering live maggots inside a 76-year-old man's urinary tract and bladder.

The elderly patient had initially visited the hospital complaining of bloody discharge, only for doctors to uncover a rare and alarming case of urogenital myiasis.

Maggots Found in Bladder After Enlarged Prostate Diagnosis

Two years prior, the man had been diagnosed with an enlarged prostate—a condition that often requires catheterization due to restricted urine flow. Upon examination, doctors found maggots burrowing into an open wound near his urethra, likely caused by flies laying eggs in the area. Over time, the larvae traveled through the urethra and reached his bladder, leading to a severe parasitic infestation.

How Did This Happen?

The elderly man, who had suffered a stroke, depended on his wife for personal hygiene. Medical experts suspect that poor sanitation, prolonged catheter use, and limited mobility increased his risk of infection. While myiasis—an infestation caused by fly larvae—is more common in open wounds and moist areas, cases affecting the urinary tract are extremely rare.

Emergency Treatment to Remove Maggots

To extract the maggots, doctors applied turpentine oil, a standard medical treatment that forces parasites to the surface. The larvae were then manually removed, and the bladder was flushed with a saline solution to ensure all remnants were cleared. Additionally, the patient was given ivermectin, an antiparasitic medication commonly used to treat such infestations.

A Warning for Catheterized Patients and Caregivers

This shocking case highlights the importance of proper hygiene and catheter care, especially for elderly or immobile patients. Medical professionals urge caregivers to maintain strict hygiene protocols to prevent similar infections.

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