Urethral Foreign Body Research Articles

Urethral Masturbation, Urethral Foreign Body—Review of Cases

Intravesical foreign body is a rarity. Studies have reported several items in urinary bladder like gauze pieces, worms, electrical wires, chicken bones, thermometers, pieces of Foley catheter, batteries and snakes. Herein, a case of an electrical wire inserted in male urethra and coiled in the bladder is presented. A seventeen-year-old male presented with history of insertion of electric wire per-urethra. The wire got stuck when he tried to pull it. He had made several unsuccessful attempts to remove it. On examination, the wire was seen protruding from external urethral meatus. An X-ray demonstrated the wire coiled and knotted inside the bladder. Considering high chances of endoscopic treatment failure, suprapubic cystotomy was performed and the wire was removed. The most common reason for self-insertion of a foreign body into male urethra is of erotic or sexual nature. In majority of cases, patient feels guilty and humiliated; therefore, he delays medical help. Many authors advocate psychiatric evaluation of these patients, considering it an indication of self-punishing and impulsive behaviour. However, it is controversial as many of these patients are psychologically normal. The definite management is complete removal of the foreign body by endoscopic or open approach. However, choosing the optimal technique depends upon the patient’s condition, urinary tract injuries and the size, shape and material of foreign body. A self-inflicted foreign body in urethra and bladder is rarity. Endoscopic manipulation is the preferred treatment, and if unsuccessful, open procedures may be necessary.

Urethral Foreign Body in Children

Urethral Foreign Body in Children

Urethral Foreign Body Management: A Case Report

Abstract Not Available Bangladesh Journal of Urology, Vol. 19, No. 2, July 2016 p.103-104

Self-Insertion of Foreign Bodies in Urethra and Bladder: Report of Three Pediatric Cases

Self-inserted urethrovesical foreign bodies are rare in children.We present three cases and discuss the clinical presentation, diagnosis and management of such patients. In case 1, a 16-year-old boy introduced a wire into the urethra and partially into the bladder three days before. In case 2, a 4-year-old boy introduced a hairpin in the urethra in the same day. In case 3, a 11-year-old boy introduced a sewing needle in the urethra a few hours before. Cystourethroscopy and suprapubic cystotomy were used to remove the foreign bodies. The presentation of urethrovesical foreign bodies can vary widely, as can the type of object inserted. Foreign body retrieval is determined by its morphology and the patient’s conditions with the aim to minimise urothelial trauma and preserve erectile function. Definitive treatment is usually the endoscopic removal, however sometimes surgical intervention may be required. It is advocated follow-up with long duration, which is necessary to diagnose the long-term complications including urethral stricture.

A NAIL THROUGH THE URETHRA IN URINARY BLADDER: A CASE REPORT OF AUTOEROTISM

Autoerotic stimulation, psychosexual disorders, drug intoxication, iatrogenicity, penetrating injury, or migration from neighboring organs are common causes for an intraurethral foreign body. As per our knowledge, our patient is the first case with a self-inserted intraurethral metallic nail in prostatic urethra and bladder. A nail was found in prostatic urethra and bladder which had migrated during sexual stimulation. We successfully removed the urethral foreign body with the combined approach of percutaneous suprapubic cystostomy and cystoscopy. First-line treatment must be endoscopic manipulation, but sometimes the combined approach may be necessary. A psychiatric evaluation must be done. It can be simply avoided by psychiatric counseling to prevent its recurrence.

Superglue self-insertion into the male urethra - A rare case report.

Background:Foreign body insertion in the urethra and bladder are relatively rare. These patients usually insert foreign body in urethra for eroticism, inquisitiveness, or as a consequence of disinhibited or disturbed behavior.Case presentation:Herein, we report a case of 41-year-old man presented with weak stream and suprapubic pain. Due to incontinence, he instilled superglue into his urethra. On perineal examination, a foreign body was palpable in the penile urethra. A 10 cm dried superglue block got out with incision at glance.Conclusion:Urethral foreign bodies are mostly found on physical examination and clinical history. Although imaging modalities are commonly used for FBs detection, the necessity of imaging modalities are still a controversy.

Retention of a self-inserted urethral foreign body in an adolescent boy

Foreign bodies have wide varieties by object and mechanism of insertion in genitourinary tract. It needs careful investigation and evaluation for diagnosing the type of object and choosing best treatment method for self-inserted foreign bodies through the urethra. The presentation in children differs from a penile stricture up to metallic objects for auto stimulations in adolescents. It is believed that psychiatric disorder and mental defects are causes of this event. In this case, we report a self-inserted foreign body into urethra and its management in a 12 years old boy, presented to ER, with urine retention and foreign object into his penis. Then the foreign object successfully retrieved by direct removal under general anesthesia and followed up for two months.

Self-inflicted urethral and vesical foreign bodies – Case report

Foreign bodies in the lower urinary tract are rare with self-infliction for sexual gratification as the commonest reason. Presenting complaints are lower urinary tract symptoms, abdominal pain, and haematuria. We report two cases of self-inflicted foreign bodies in the lower urinary tract of adult male patients; one by an electrical wire and another by Bengal grams. Bengal gram as the foreign body has never been reported previously. X-ray, ultrasound, and computed tomography of the KUB region help to confirm the diagnosis. The primary goals of treatment are safe removal of foreign bodies, avoiding iatrogenic injuries to the lower urinary tract, and preservation of the sexual function. Endoscopic management is the commonest procedure performed and described in such cases. We were able to manage both cases endoscopically. Psychiatric consultation and appropriate counselling should be given to prevent further repetitions of such acts in the future.

Urethral Defect in Setting of Recurrent Urethral Foreign Body Insertion

We present a case of recurrent episodes of foreign body insertion into the urethra, ultimately resulting in urethral defect at the penoscrotal junction. We have decided against treating the urethral defect as it facilitates nonoperative retrieval of the urethral foreign bodies. We present our experience and rationale for the clinical management of this complex patient.

Epidemiology of genitourinary foreign bodies in the united states emergency room setting and its association with mental health disorders

The epidemiology of genitourinary foreign bodies (GUFB) has been mainly described through case reports and small series. The aim of this study is to investigate the epidemiologic, medical, and socioeconomic factors associated with GUFB, along with the resultant costs of care in emergency departments (EDs) nationwide. ED visits with the primary diagnosis of a GUFB between 2010 and 2014 were abstracted from the Nationwide Emergency Department Sample database. Between 2010 and 2014, a weighted estimate of 102,333 visits to the ED with GUFB were recorded in the US, representing a national incidence of 7.6 ED visits per 100,000 persons. Of these visits, 4.7% resulted in admission and males were more likely to be admitted (24.8% vs. 2.1%, p < 0.01). A third of patients had low income, 30% had no medical insurance, and a third of patients had Medicaid. Urethra/bladder and penile foreign bodies had a significant association with mental health disorders (35.6%). Vulvar/vaginal foreign bodies had a lower prevalence of mental health disorders (6.1%). Costs of managing patients in the ED averaged $3769. More importantly, penile or urethra/bladder foreign bodies incurred a higher cost ($30,071). This is the largest population-based study investigating the epidemiology of GUFB. GUFB are more common in young women and the majority of them are vulvar/vaginal. Urethral and bladder foreign bodies occurred in older male patients and are associated with longer hospital stays and costs. Over one third of male patients with urethra/bladder had significant mental health disorders.

Boondoggled: A Case Report of Arts and Crafts Gone Wrong

Self-insertion of foreign bodies into the urinary tract is a not-uncommon urological problem with significant psychosocial implications. A 12-year-old male presented to the ED when his father noted blood in the patient’s urine. During evaluation, the patient admitted to inserting Boondoggle, a plastic arts and crafts string, into his urethra 1 week prior. He admitted to performing this activity on multiple prior occasions. He subsequently developed worsening frequency, urgency, dysuria, hematuria, and suprapubic pain. Bladder ultrasound and KUB were obtained which demonstrated a large amount of hyperdense material coiled in the bladder. He was brought to the OR the following day for removal of the foreign body. After failed attempts at endoscopic retrieval, 34 feet of plastic string was removed via an open approach. The bladder was closed and a foley was left in place. He was discharged on postoperative day 2 on culture specific antibiotics after a successful void trial. Urethral masturbation has been associated with psychiatric disorders, fetishism, and sadomasochistic tendencies. For the urologist, it is critical to recognize the mental health issues portended by urethral foreign body insertion, and take the appropriate steps to address the underlying problem.

Teenage Curiosity: Magnetic Attraction Gone Wrong

A 13-year-old male presented with suprapubic pain, hesitancy, and dysuria beginning seven hours prior to arrival. After initial evasiveness, the patient admitted to inserting small, magnetic ball bearings into his penis. Vital signs and physical exam were unremarkable aside from mild suprapubic tenderness to palpation. Pelvic radiograph demonstrated about 45 radiopaque beads within the urethra and bladder. While urethral foreign body (FB) is an uncommon diagnosis, it is essential to identify quickly as lifelong complications can arise. Magnetic FBs are particularly concerning due to possible ischemia from compression injury and difficulty of removal. Safety concerns led to temporary market removal of neodymium magnetic toys, but sales resumed in 2016.

SELF-INSERTION OF FOREIGN BODY (HAIRPIN) IN URETHRA AND ITS REMOVAL BY NON-OPERATIVE TECHNIQUE

A urethral foreign body is usually found as a part of sexual misadventure mostly in a young male. The literature has described items like a fork, battery, wire and other things in the urethra which almost always required a surgical procedure for its removal. Here we present the case of self-insertion of a hairpin in the male urethra with the open pointed end of hairpin facing distally. The hairpin despite being “stuck” inside the urethra due to its sharp end embedded in urethral mucosa was successfully removed with simple manipulation techniques with no complication in follow-up. This case highlights the point that when faced with the situation of an uncommon object in the urethra, the treatment has to be individualized according to the type of object, age and sex of the patient and sometimes common unorthodox technique can save the patient from operative procedure.

Self-introduction of urethral foreign bodies in adolescent boys: a rising problem

Self-introduction of urethral foreign bodies in adolescent boys: a rising problem

A Tale of an Impacted Thorny Twig in the Urethra and Over-Loading Removal Technique

Urethral foreign bodies are mostly self-inserted because of exotic impulse, desire of sexual gratification, psychosexual problems, or under alcohol influence. Most of the foreign bodies are easily inserted, but the failure of removing it becomes the reason of presentation to the hospital. A 15-year-old male presented with a 35-cm-long thorny twig inserted into the urethra, which got impacted leading to painful hematuria. The twig was removed by an over-loading technique using a nasogastric tube (Ryle’s tube) in a remote island of India. The procedure was successful without causing additional trauma during the removal of the foreign body.

A Cotton Swab in Male Urethra: A Case Report of an Unusual Urethral Foreign Body

Urethral foreign bodies are rare urological emergencies and early management is vital. Mostly, the patient with a psychiatric disorder inserts the foreign body himself for erotic satisfaction. In this paper, we reported a case of a 22-year-old male patient who inserted a cotton swab into his urethra.

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

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

A Case of Rectourethal Fistula Caused by a Urethral Foreign Body

A Case of Rectourethal Fistula Caused by a Urethral Foreign Body

Urethral Foreign Bodies: Clinical Presentation and Management

To review a single institution's 15-year experience with urethral foreign bodies, including evaluation, clinical findings, and treatment. In total, 27 patients comprising 35 episodes of inserted urethral foreign bodies were reviewed at Cook County Hospital between 2000 and 2015. Retrospective chart review was performed to describe the clinical presentation, rationale for insertion, management, recidivism, and sequelae. Median patient age was 26 (range 12-60). Twenty-six patients (97 %) were male, 1 was female (3%). Items inserted included pieces of plastic forks, spoons, metal screws and aluminum, pieces of cardboard or paper, staples, writing utensils such as pens and pencils, as well as coaxial cable and spray foam sealant. Reported reasons for insertion were self-stimulation, erectile enhancement, and attention seeking. Presenting symptoms included dysuria, gross hematuria, urinary retention, urinary tract infection, and penile discharge. The most common technique for removal was manual extraction with extrinsic pressure (n = 19, 54%). Other methods include endoscopic retrieval (n = 8, 23%), open cystotomy (n = 1, 3%), and voiding to expel the foreign body (n = 7, 20%). Postremoval complications included urinary tract infection (n = 7), sepsis (n = 4), urethral false passage (n = 5), laceration (n = 5), and stricture (n = 1). We present the largest single-institutional series of urethral foreign bodies to date. Urethral foreign body insertion is a relatively rare occurrence and, commonly, is a recurrent behavior. Urethral trauma related to foreign body insertion is associated with significant risk of infection and urethral injury with long-term sequelae.

P-03-071 An extraordinary masturbation instrument: Intravesical electrical wire cable

In this case report, we aimed to present a 21 year-old male patient that was admitted to emergency clinic of Keçiören Research and Training Hospital in September 2014 wih a urethral foreign body that was extending into the bladder and was used for masturbation. In September 2014, a 21 year old male patient was admitted to emergency clinic of Keçiören Research and Training Hospital with a urethral foreign body that was extendig into the bladder. Nearly the half of that urethral foreign body was outside of the urethra and was an electrical wire cable. The patient was routinely inserting the cable into the urethra for masturbation but at that time the cable was inserted more deeply and the patient had a severe urehtral pain. On the X-ray, the electrical wire cable was clearly seen and was extending into the bladder (Figure 1). Firstly, we tried to remove the cable from the extraurethral part but the patient had a severe urethral pain and after that, under spinal ansetesia we cystoscopically removed the wire cable. A gross electrical wire cable was seen after removal. During cystoscopy, minimal urethral injury was seen and a urethral catether was inserted. Also there was a urinary tract infection and intravenous antibiotherapy was given to the patient. On postoperative third day, the urethral catether was taken out and the patient was discharged with oral antibiotherapy. During the routine follow-ups, the uroflowmetry of the patient was normal.