Allen Key Completely in Male Urethra: A Case Report

Below:  X-ray of the pelvis showing the Allen key completely in the anterior urethra

Below:  X-ray of the pelvis showing the Allen key in the urethra

Below:  External urethrotomy of the anterior urethra showing the metallic object in the urethra

Below:  Allen key removed from urethra

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 his urethra. The patient presented with dysuria, haematuria and penile pain.

Conclusion

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.

Read more at:  http://ht.ly/R2XN9 MT @BioMedCentral 

Polyembolokoilamania: Self-Insertion of Transistor Radio Antenna in Male Urethra

Below:  Oblique pelvic X-ray showing foreign body in the region of penile and bulbar urethra

Below:  Intra-operative photograph of the foreign body being removed via external urethrotomy of the anterior urethra

Below:  Post-operative photograph of the foreign body - a transistor radio antenna. The antenna is an aluminium tube and measured 13 cm in length

Though self-insertion of a foreign body in the male urethra is an infrequent urologic emergency, a weird variety of self-inserted foreign bodies have been reported. Most of these are attributed to autoerotic stimulation, a consequence of mental illness or the result of drug intoxication. We report an unusual case of a 65-year-old African man who self-inserted a broken transistor radio antenna into his urethra to serve as an improvised ‘itchstick’ to ease a bothersome itchy urethral condition. The foreign body subsequently migrated proximally out of reach. He presented a week after with urethral bleeding following nocturnal penile erections and we describe his evaluation and the challenge of retrieval. The reasons for self-inserting objects into the urethra may be as varied as the foreign bodies themselves and may include objects being used as an improvised ‘itchstick’ for itchy urethral conditions. The urologist's creative tendencies will often be required in safely removing these objects.

Read more at:  http://ht.ly/R2U6P HT @NCBI 

Surgical Removal of an Unrecognized Tapestry Needle from the Urethra

Below:

The variety of intraurethral foreign bodies has been reported in literature. Most of them tend to be self-inserted because of sexual or erotic reasons. We report a 23-year old male patient who had tapestry needle into his urethra, which was not self-inserted. The patient was referred to our institution with dysuria and hematuria. There was microscopic hematuria in urine analysis and no pathologic sign in sonography. The needle was detected in proximal urethra in pelvic X-ray and endoscopic visualization revealed that it was trapped in mucosa. The needle was successfully removed by open surgery. Main treatment for the removal of urethral foreign bodies is usually endoscopic but open surgery may be required in some cases especially cutting foreign bodies.

Read at:   http://ht.ly/Qz8QJ HT @NCBI #erotic