Successful removal of a telephone cable, a foreign body through the urethra into the bladder: a case report

Abstract

The variety of foreign bodies inserted into or externally attached to the genitourinary tract defies imagination and includes all types of objects. The frequency of such cases renders these an important addition to the diseases of the genitourinary organs. The most common motive associated with the insertion of foreign bodies into the genitourinary tract is sexual or erotic in nature. In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders. We report a case of insertion of telephone cable wire into the urethra. Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.

Unusual foreign body in the vesico-urethral; 195 cm liquid pipe

“…[7] In their series of 17 cases, Rahman et al [8] indicated psychiatric disorders, and auto-erotic drives as causes of self-insertion of foreign substances. In addition, Trehan et al [9] reported a patient without any psychiatric disorder, but experienced post-MI erectile dysfunction, and inserted telephone cables for erection, and sexual satisfaction. [9] Besides, Kılıç et al [10] reported a case of extraurethral self-insertion where a prisoner cut his penis to place a piece of mica inside his penis.…”

Mesanede Göz Kalemi: Bir Olgu Sunumu

“…Reviewing the literature, most common motive of inserting a foreign object through the urethra is found to be autoerotism, sexual curiosity and gratification 4 . Male people had higher selfinsertion rates than females (1.7/1) 8 .…”

“…The patient may be completely asymptomatic or present with simple urethritis and cystitis symptoms such as pelvic pain, frequency, urgency, dysuria, strangury, microscopic or macroscopic, hematuria, purulent urethral discharge, fever or sometimes more serious like bladder perforation, ascending urinary tract infection and sepsis [2][3][4]6,7 .…”

“…Evaluation of the patient should start with physical examination, followed by radiologic methods as X-ray, USG, CT which can be helpful understanding the position of the object and its correlation with surrounding viscera 2,4 . Cystoscopy is used as an invasive technique both to visualize the object clearly and the urethral and intravesical injuries, inflammation and necrosis if present, also for removal if possible 7 .…”

“…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] .…”