Multiple foreign bodies in the anterior and posterior urethra

Abstract

Foreign bodies of the urethra and bladder are seen with iatrogenic injury, self-insertion, and rarely migration from adjacent sites. Treatment is focused on foreign body extraction, diagnosing complications, and avoiding compromise of erectile function. With advances in endourology, the majority of cases can now be managed endoscopically. We present a case of a man with multiple foreign bodies located both above and below the urogenital diaphragm. Advancing the posterior objects intravesically and extracting with a stone basket accomplished successful removal.

Self-insertion of needle as urethral foreign body after sexual gratification: An unusual case report

“…The reasons for insertion of foreign bodies into urethra could be psychiatric, accidental, sexual stimulation, curiosity especially among children, or therapeutic in cases of stricture [11]. The case presented here is very interesting.…”

Urethral Foreign Body: Evaluation of an Interesting Case Guided by the Literature

“…[1] Patient inserting foreign body to relieve severe urethral itching, as in present case, is a rarely encountered condition. [7] Urethral irritation may be seen more frequently in diabetic patients as they are more prone to infection. [2] Patients with urethral foreign body may present with complaints of painful urination, macroscopic hematuria, urinary urgency, and recurrent urinary infections.…”

Vaseline injection, an inadequate method for penile augmentation

“…The foreign bodies known to have been applied for this purpose include glass rods, hooks, knitting needles, pins, pencils, ball pens, pen holders, hairpins, matches, electric wires, vine branches, parts of rubber rings, necklaces, forks, forceps, straws, screws, 9 pistachio shells, razor blades, a toothbrush, an Allen key, drill bits, eye droppers, pacifiers, etc. (van Ophoven and de Kernion, 2000;Walsh and Moustafa, 2000;Molnár and Szıke, 1973;Sukkarieh et al, 2004;Mitterberger et al, 2009;Brison et al, 2006;Sinopidis et al, 2012). Extreme cases of a 45 cm headless snake (van Ophoven and de Kernion, 2000;) and broken mirror have also been reported (Hwang et al, 2010).…”

“…The long-term consequences may include a urethral stricture, diverticulum, incontinence or an erectile dysfunction (Stankov et al, 2009;van Ophoven et al, 2000;Walsh et al, 2000;Sukkarieh et al, 2004;Mastromichelis et al, 2011;Sinopidis et al, 2012). To set up a diagnosis a careful medical history record is essential.…”

“…The treatment is mainly endoscopic. Antibiotic therapy is recommended in all cases (Sukkarieh et al, 2004). If the patient can drain the bladder, there is no need to insert catheter (Walsh et al, 2000).…”