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Naidu K, Chung A, Mulcahy M. An unusual urethral foreign body. Int J Surg Case Rep. 2013;4(11):1052-4doi: 10.1016/j.ijscr.2013.07.017.
Naidu, K., Chung, A., & Mulcahy, M. (2013). An unusual urethral foreign body. International journal of surgery case reports, 4(11), 1052-4. https://doi.org/10.1016/j.ijscr.2013.07.017
Naidu, Krishanth, et al. "An unusual urethral foreign body." International journal of surgery case reports vol. 4,11 (2013): 1052-4. doi: https://doi.org/10.1016/j.ijscr.2013.07.017
Naidu K, Chung A, Mulcahy M. An unusual urethral foreign body. Int J Surg Case Rep. 2013;4(11):1052-4. doi: 10.1016/j.ijscr.2013.07.017. Epub 2013 Aug 03. PMID: 24055017; PMCID: PMC3825963.
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Int J Surg Case Rep. 2013;4(11):1052-4. doi: 10.1016/j.ijscr.2013.07.017. Epub 2013 Aug 03.

An unusual urethral foreign body.

International journal of surgery case reports

Krishanth Naidu, Amanda Chung, Maurice Mulcahy

Affiliations

  1. Department of Urology, The Canberra Hospital, Yamba Drive, Garran, Australian Capital Territory 2605 Australia. Electronic address: [email protected].

PMID: 24055017 PMCID: PMC3825963 DOI: 10.1016/j.ijscr.2013.07.017

Abstract

INTRODUCTION: Lower urinary tract foreign body insertions have a low incidence. The motives for insertion of a variety of objects are difficult to comprehend. This case warrants discussion given the great management challenge faced by the oddity and infrequency with which a fork is encountered in the penile urethra.

PRESENTATION OF CASE: A 70-year-old man presents to the Emergency Department with a bleeding urethral meatus following self-insertion of a fork into the urethra to achieve sexual gratification. Multiple retrieval methods were contemplated with success achieved via forceps traction and copious lubrication.

DISCUSSION: The presentation of urethral foreign bodies can vary widely, as can the type of object inserted. The most prevalent motivation for self-insertion of urethral foreign bodies is autoerotism. Motivations ought to be explored in light of possible underlying psychological or psychiatric conditions. The most appropriate surgical extraction technique can be guided by physical examination and imaging. Endoscopic removal is often successful, depending on the object's physical attributes and morphology. It is important to arrange appropriate follow-up, as late complications can occur such as urethral strictures.

CONCLUSION: Psychological and surgical arms encompass the management plan. Foreign body retrieval is determined by its physical attributes and morphology with the aim to minimise urothelial trauma and preserve erectile function. Essentially, endourological extraction serves the primary means of retrieval. Cystourethoscopy is important to diagnose urothelial injuries and to ensure complete removal of foreign bodies following extraction.

Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Cystoscopy; Endoscopy; Foreign bodies; Urethra; Urinary bladder

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