An Unusual Case of a Metallic Foreign Body per Urethra

Abstract

SummaryBackgroundForeign body in the lower urinary tract has a low incidence. Here we discuss a case of a safety pin within the bulbar urethra inserted by a young boy for sexual gratification, which was successfully removed under cysto-urethroscopic guidance.Case ReportHerein we present a case of a 14-year-old boy who presented with complaints of perineal pain and dysuria. On evaluation in detail and from clinical history, we came to know that he had inserted a safety pin within the urethra. Urine analysis revealed microscopic haematuria and few pus cells. X-ray of the pelvis and computerised tomography helped in confirming the presence of the safety pin within the urethra.ConclusionsThe method of extraction of a foreign body per urethra depends on the size and shape of the foreign body. Cysto-urethroscopic removal is successful depending on the physical characteristics of the foreign body. It has the advantage of minimising urothelial trauma and also helps in assessing any previous mucosal injury or thickening. Psychological evaluation and counselling may help to prevent further such episodes.

Thinking outside the loop: use of an endoloop in retrieving a urethral foreign body

“…2 Other complications include urethritis, incontinence and fistula or diverticulum formation. 7 Therefore, follow-up is warranted to assess for the development of complications. Psychological assessment should also form part of the management plan in an effort to prevent recurrence.…”

“…The most common complication of foreign body insertion into the urethra is a urethral stricture 2 . Other complications include urethritis, incontinence and fistula or diverticulum formation 7 . Therefore, follow‐up is warranted to assess for the development of complications.…”