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.
We 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. A 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.
Introduction: 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 hisurethra.
The patient presented with dysuria, haematuria and penile pain.Conclusion: A self-inflicted urethral foreign body is a rare situation. Endoscopic removal is therecommended first-line treatment and if unsuccessful, open procedures may be necessary.IntroductionVarious cases of self-inflicted foreign bodies in the maleurethra have been reported.
Most of them are associatedwith autoerotic stimulation, psychiatric disorders orintoxication . The patients present with dysuria, haema-turia, urinary retention, penile pain or swelling. Wereport about a patient who put an Allen key completely inhis urethra.Case presentationA 51-year-old Caucasian male presented to the emergencyroom and stated that he has an Allen key in his urethrasince two days.
The patient could void and had bloodyurethral discharge. Further he had made several unsuccess-ful attempts to remove it. His physical examinationshowed a normal urethral meatus and a palpable foreignbody within the penis. An x-ray of pelvis demonstrated a9 cm long metallic object in the anterior urethra,corresponding an Allen key. The patientwas not married and his socioeconomic status was ofupper class. It was the first time he had ever self-inflicted aforeign body in his urethra and he had no history of drugaddiction or psychiatric illness.
After giving his formalconsent, the patient was taken to the operating room.Under general anesthesia and fluoroscopic control, anattempt was made to pull out the foreign body with a 22 Frcystoscope. This was unsuccessful, due to lack of space.Then an external urethrotomy of the anterior urethra wasperformed, the Allen key was removed and an 18F urethralcatheter was placed
The patient wasdischarged two days later with the catheter. After threeweeks under oral antibiotic therapy a voiding
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