Intravesical foreign object: A case report of autoerotism

Simangunsong, Albert Ivan; Pramod, Sawkar Vijay

doi:10.1016/j.ijscr.2020.11.079

Cited by 5 publications

(7 citation statements)

References 3 publications

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“…During childhood and inherent to their development, children explore their bodies and orifices ( 12 ). Other causes include psychiatric disorders and sexual stimulation ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in children's lower urinary tract: A case series and literature review

et al. 2023

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BackgroundChildren with foreign bodies (FBs) in the lower urinary tract have rarely been reported, and their management remains challenging. This study aimed to describe the characteristics and treatment of FBs in children's lower urinary tract.MethodsWe retrospectively analyzed the clinical data on lower urinary tract FBs that were removed in our hospital from August 2017 to August 2022, including demographics, location, symptoms, imaging examinations, and treatment.ResultsFour male patients were enrolled, whose ages ranged from 9 to 13 years, with a mean age of 11 years. The course of the disease ranged from 3 h to 2 weeks. Their imaging characteristics were reviewed and analyzed, and two FBs were located in the bladder and two in the urethra. Mosquito forceps were used to remove an acne needle through the urethra in one case. Cystoscopy was first attempted in three cases, in only one of which was the FB removed successfully under endoscopic minimally invasive surgery. In the remaining two cases, removal via transurethral cystoscopy failed, whereby leading to cystotomy being performed. The FBs comprise a skipping rope, hairpin, magnetic bead, and acne needle. The postoperative recovery was uneventful, and no complications occurred during the follow-up period of 3 to 6 months.ConclusionIt is rare for children to have FBs in the lower urinary tract. An early diagnosis, as well as appropriate management of lower urinary tract FBs, can significantly reduce complications. Surgical removal of lower urinary tract FBs can be safe and effective, and relatively better outcomes can be achieved.

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“…During childhood and inherent to their development, children explore their bodies and orifices ( 12 ). Other causes include psychiatric disorders and sexual stimulation ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in children's lower urinary tract: A case series and literature review

et al. 2023

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“…Foreign objects in the lower genitourinary tract are an uncommon urological emergency [1]. There could be a variety of causes for this, including exotic impulses, psychometric problems, sexual curiosity, assault, and sexual abuse [2,3]. Common objects that can be inserted include electrical wires, pencils, bullets, intrauterine contraceptive devices, parts of catheters, or, as in our case, magnets [1,3].…”

Section: Introductionmentioning

confidence: 98%

“…The patient may feel embarrassed, which can delay the presentation of the condition [3]. Because of this, symptoms like pelvic/penile pain, hematuria, dysuria, infection, and occasionally obstruction can be produced [1,2]. Diagnosis is made based on history, physical exam, urinalysis, and imaging [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

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Foreign Body in the Male Urinary Bladder: A Case Report

Venkataramani,

Ghazi,

Kazmi

et al. 2024

Cureus

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A foreign body in the urinary bladder is an uncommon finding in urology emergencies. There are several ways in which intravesical foreign bodies can occur, including iatrogenic injuries, self-insertion for pleasure, sexual abuse, assault, and migration from adjacent sites. This case report is about an interesting presentation of a 36-year-old male who presented to the urology outpatient department with a burning sensation and dribbling while urinating for 1 month. An X-ray of the pelvis revealed multiple radiodensities (morphology was suggested as magnetic balls) in the pelvic soft tissues. Cystoscopy was performed and three-pronged forceps were utilized to remove the magnetic foreign bodies. The patient had an insignificant hospital course and was discharged with analgesics and antibiotics.

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“…In 63% of such cases, the patients are males of different ages [ 8 ]. Clinical history, physical examination, and imaging tests help physicians diagnose foreign objects in the human body [ 9 , 10 ]. Some of the behavior resulting in the self-insertion of such objects is caused by mental health illness, senility, drug intoxication, and autoerotic stimulation [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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

Tuncer

Karacam

Çam

2021

Cureus

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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.

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Intravesical foreign object: A case report of autoerotism

Cited by 5 publications

References 3 publications

Foreign bodies in children's lower urinary tract: A case series and literature review

Foreign bodies in children's lower urinary tract: A case series and literature review

Foreign Body in the Male Urinary Bladder: A Case Report

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

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