An Electric Cable As A Foreign Body In The Urethra

Abstract

Foreign bodies are often introduced into the urethra for auto-eroticism. Although most foreign bodies can be removed easily, some cases require endoscopic or open surgical treatment. Primary treatment goal should be extraction of the foreign body using minimally invasive techniques to reduce penile trauma. In the presented case, the urethral foreign body, an electric cable, could neither be removed via the urethra nor endoscopically, due to a knot in the bladder. At the attempt of removal the knot slipped from the bladder into the bulbar urethra. Finally the cable had to be removed by open surgery (perineal urethrotomia). Discussion: To avoid damage in the lower urinary tract, the initial attempt should be endoscopic removal of the foreign body. If open surgery becomes necessary sectio alta should be preferred to perineal urethrotomia.