A Self-Inserted Foreign Body in the Urinary Bladder and Urethra

Abstract

Foreign objects in the lower genitourinary system are a rare urological emergency often associated with selferoticism, drug intoxication, or psychiatric illness. In addition to clinical examination, multiple imaging modalities such as X-ray, ultrasound, computed tomography, and magnetic resonance imaging have been used for the diagnosis of foreign bodies. Surgical exploration and endoscopic extraction are the main approaches to the treatment. Here, we present the case of a 37-year-old male who presented to the emergency department with penile and urethral pain caused by an electrical wire inserted into the urethra. The electrical wire was protruding 15 cm from the urethral meatus. A 50 cm long cable was extracted from the urethra and urinary bladder under regional anesthesia. This case is remarkable for the length of the foreign body and the depth to which it was inserted reaching into the urinary bladder. Emergencies related to sexuality or unconventional sexual preferences can lead to avoidance or delay of medical treatment, which, in turn, can result in a higher risk of complications. The examining doctor should be sensitive to secretive and insecure behavior and should be considerate of the patient's privacy to facilitate a thorough physical examination.

A case of self-inserted foreign body in the urinary bladder: Usefulness of three-dimensional reconstruction computed tomography for surgery planning

“…Our case highlighted the usefulness of reconstructed 3D-CT images in surgical planning. Additionally, in a case report of an intravesical wire, 3 authors successfully removed the wire transurethrally. This was guided by CT findings which revealed the wire was looped but not tangled in the bladder.…”

A Rare Case of an Intermittent Urinary Catheter Discovered Inside a Bladder

“…iron wires, pins, needles, etc. have been documented [1][2][3][4][5][6]. Retained objects may cause lower urinary tract symptoms (LUTS), abdominal pain, haematuria, dysuria, and recurrent UTIs not responding to antibiotics.…”

“…There are several reports of foreign objects within body cavities, inserted usually for sexual pleasure or forgotten during endoscopic manoeuvres [1][2][3][4][5][6]. Patients may be asymptomatic or present with lower urinary tract symptoms, which sometimes are attributed to a concomitant chronic disease and treated as such.…”

Foreign bodies in the urinary bladder: Case report

“…U većini slučajeva strana tela u mokraćnoj bešici se javljaju kod psihopatoloških, maloumnih ili alkoholisanih osoba [3][4][5][6]. Mala deca, u bezazlenoj igri, često uvlače razne predmete u prirodne otvore.…”

“…Opisani su slučajevi migracije projektila iz trbuha u mokraćnu bešiku [3][4][5][6]. U simptomatologiji dominiraju uporne, recidivne i na antibiotsku terapiju refraktorne cistične tegobe.…”