Endoscopic management of a foreign body inserted through the urethra into the bladder in a male patient: a case report

Year 2019, Volume: 5 Issue: 2, 403 - 406, 04.03.2019

Ünal Öztekin Sercan Sarı Volkan Selmi Abdullah Gürel

https://doi.org/10.18621/eurj.416541

Abstract

Foreign body in the urethra is a rare condition, which
is caused by the placement of a foreign object in the person's own urethra,
with different causes, and requires immediate intervention. We present a
16-year-old male case of self-insertion of a pencil into the urethra migrating
into the bladder. The pencil was in prostatic urethra and pulled by holding it
with forceps endoscopically. Open surgery is usually required for the foreign
body in the urethra and bladder. In the appropriate patients, the foreign body
can be removed with endoscopic management. 

Keywords

Foreign body, urethra, endoscopic management

References

• [1] Rahman NU, Elliott SP, McAninch JW. Self-inflicted male urethral foreign body insertion: endoscopic management and complications. BJU Int 2004;94:1051-3.
• [2] Bayraktar Z, Albayrak S. A self-inflicted male urethral/vesical foreign body (olive seed) causing complete urinary retention. Urol Case Rep 2017;16:83-5.
• [3] Mahadevappa N, Kochhar G, Vilvapathy KS, Dharwadkar S, Kumar S. Self-inflicted foreign bodies in lower genitourinary tract in males: our experience and review of literature. Urol Ann 2016;8:338-42.
• [4] Bedi N, El-Husseiny T, Buchholz N, Masood J. 'Putting lead in your pencil': self-insertion of an unusual urethral foreign body for sexual gratification. JRSM Short Rep 2010;1:18.
• [5] van Ophoven A, de Kernion JB. Clinical management of foreign bodies of the genitourinary tract. J Urol 2000;164:274-87.
• [6] Aliabadi H, Cass AS, Gleich P, Johnson CF. Self-inflicted foreign bodies involving lower urinary tract and male genitals. Urology 1985;26:12-6.
• [7] Kenney RD. Adolescent males who insert genitourinary foreign bodies: is psychiatric referral required? Urology 1988;32:127-9.