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WebMD Health News

Friday, April 27, 2007

Grey's: A Fish Swam Up Your What??
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Last night's episode of Grey's Anatomy -- with the fish swimming up the guy's penis --may sound like total craziness, but in this case the writers were pretty much right on.

The moral of the story? Reconsider that spontaneous skinny dip -- at least if you're headed to the Amazon.

When Seattle Grace's chairman of the board showed up at the hospital unable to urinate and with testicles the size of "grapefruits," all the attending physicians competed against each other to wow the Chief.

But the Chief showed them. He was the one that figured out the chairman (who Christina graciously referred to as a VIP -- very important penis) had a fish lodged in his penis.

The candiru fish is a freshwater fish found in the Amazon. It's notorious for swimming up the penis, particularly when a man urinates in the water. The candiru is also known as the toothpick fish and vampire fish of Brazil (because it sucks blood from its victims).

The candiru usually attaches itself inside another fish by following the stream of water from the gills and winding its way into the fish. It apparently also has an affinity for a urine stream and that's how it finds its way into the penis.

Once in the urethra, the fish lodges itself in there by the use of spines on its surface. No big deal, right? Sounds awful but just yank the sucker out. It's not quite that easy.

Once the fish's spines are stuck in the urethra, there is really no way to get it out of there without extensive surgery.

In the Amazon, one traditional treatment was to amputate the penis since surgery was so expensive. Another native treatment involves the Xagua plant and the Buitach apple. These two plants reportedly kill and dissolve the fish.

Without treatment, death is common due to overwhelming infection in the body, called sepsis.

Thankfully, Grey's VIP had "some of the best surgeons in the world" on the case -- at least that's how the Chief put it. It was really the chief and an unknown urologist that saved the day and the VIP.

And although his heart acted up a bit during the surgery, he came through just fine. Well, that's all relative. He won't be wowing his wife or girlfriend in the bedroom any time soon.

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Posted by: Michael_Smith_MD at 4/27/2007 10:42:00 AM

2 Comments:

Anonymous crispy said...

Can the candirĂº fish swim up the stream of urine if you're standing on shore and peeing into the river? I've heard that, but it sounds kinda fishy.

4/27/2007 4:10 PM  
Blogger Gopinath said...

No. The penis has to be in the water while urinating. Candiru cant climb up the stream in the air like salmon !

5/07/2007 4:39 AM  

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