Abstract
IntroductionVarious cases of self-inflicted foreign bodies in the male urethra have been reported. Most of them are associated with autoerotic stimulation, psychiatric disorders or intoxication.Case presentationWe report the first case of a patient who put an Allen key completely in his urethra. The patient presented with dysuria, haematuria and penile pain.ConclusionA self-inflicted urethral foreign body is a rare situation. Endoscopic removal is the recommended first-line treatment and if unsuccessful, open procedures may be necessary.
Highlights
Various cases of self-inflicted foreign bodies in the male urethra have been reported
Most of them are associated with autoerotic stimulation, psychiatric disorders or intoxication
Case presentation: We report the first case of a patient who put an Allen key completely in his urethra
Summary
Various cases of self-inflicted foreign bodies in the male urethra have been reported [1]. The patient could void and had bloody urethral discharge Further he had made several unsuccessful attempts to remove it. The patient was not married and his socioeconomic status was of upper class It was the first time he had ever self-inflicted a foreign body in his urethra and he had no history of drug addiction or psychiatric illness. After giving his formal consent, the patient was taken to the operating room. An external urethrotomy of the anterior urethra was performed, the Allen key was removed and an 18F urethral catheter was placed (Figures 3 and 4).
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