Perforation of the Urinary Bladder Caused by Transurethral Insertion of a Pencil for the Purpose of Masturbation in a 29-Year-Old Female

Abstract

The urethra is a usual site of introduction of foreign bodies for autoerotic stimulation. We present an unusual case of bladder perforation caused by foreign body that was self-inserted in the urethra and consequently slipped inside the bladder in a 29-year-old female patient with psychiatric disease. The patient was referred to our department for macroscopic hematuria and abdominal pain. Imaging studies revealed the presence of a foreign body in the pelvic area which had perforated the left lateral wall of the bladder. The foreign body was removed via open cystotomy. In psychiatric patients hematuria and pelvic pain may result from insertion of a foreign body in the bladder usually during masturbation.

Polyembolokoilamania: Self-insertion of transistor radio antenna in male urethra

“…Self-inserted foreign bodies in the urinary tract are the purview of the urologist and a variety of objects have been reported to be self-introduced presenting a challenge of retrieval and management 123456. Often the patient presents late due to embarrassment and often will have made several efforts at self-removal 1578.…”

“…It is part of a broad group of disorders referred to as polyembolokoilamania in which patients’ inserts foreign bodies into body orifices for diverse reasons which may be psychopathological or otherwise. A weird variety of objects self-inserted into the urinary tract have been reported and includes electrical wires, batteries, glass, pencils, chopsticks and telephone cables 123456. The more common reasons for self-insertion of these foreign bodies into the urethra are autoerotic stimulation, a consequence of mental illness or a result of drug intoxication 234.…”

“…A weird variety of objects self-inserted into the urinary tract have been reported and includes electrical wires, batteries, glass, pencils, chopsticks and telephone cables 123456. The more common reasons for self-insertion of these foreign bodies into the urethra are autoerotic stimulation, a consequence of mental illness or a result of drug intoxication 234. An unusual case of a transistor radio antenna self-inserted into the male urethra for the purpose of serving as an improvised ‘itchstick’ to relieve an itchy urethral condition is presented and discussed.…”

Mesanede Göz Kalemi: Bir Olgu Sunumu

“…The causes vary from self-autoerotism to iatrogenic urological procedures, migration from surrounding organs or trauma; occasionally coexisting with other underlying problems such as drug abuse, intoxication, psychosocial and psychiatric disorders and cognitive disorders [2][3][4][5][6] .…”

Cystoscopic Extraction of a Whole Pen From the Bladder: A Case Report and Review of Bladder Foreign Bodies’ Treatment Options

“…Some complications may be associated with long standing bladder FBs as recurrent urinary tract infection and stone formation. Rarely some patients may develop serious complications such as perforation of the urinary bladder [3] or hydronephrosis [4] with impairment of renal function.…”