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Successful removal of a telephone cable, a foreign body through the urethra into the bladder: a case report.

Trehan RK, Haroon A, Memon S, Turner D - J Med Case Rep (2007)

Bottom Line: The frequency of such cases renders these an important addition to the diseases of the genitourinary organs.In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders.Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.

View Article: PubMed Central - HTML - PubMed

Affiliation: SpR, Trauma & Orthopaedics, St George's Hospital, London, UK. trehanravi@hotmail.com.

ABSTRACT
The variety of foreign bodies inserted into or externally attached to the genitourinary tract defies imagination and includes all types of objects. The frequency of such cases renders these an important addition to the diseases of the genitourinary organs. The most common motive associated with the insertion of foreign bodies into the genitourinary tract is sexual or erotic in nature. In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders. We report a case of insertion of telephone cable wire into the urethra. Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.

No MeSH data available.


Related in: MedlinePlus

Lateral view showing foreign body.
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Figure 3: Lateral view showing foreign body.

Mentions: A fifty-year-old man presented with history of urethral bleeding and pain in the urethra and supra-pubic region for a few hours following insertion of a telephone wire in his urethra. He had a past history of myocardial infarction four years earlier, after which he lost his erections. He did not opt for any treatment for his impotence. The patient gained sexual gratification after inserting a thin telephone cable wire into his urethra. He had been doing this for the last three years to get erections and after masturbation he would pull the wire out. This time after repeating the same act, he was unable to pull the wire out. He tried to pull hard but this was followed by bleeding from the urethra and soon he became incontinent. Examination revealed a thin telephone wire with two ends protruding about 5 inches out of the penis (Fig 1). The patient was incontinent and dribbling urine with spasmodic pain in the supra-pubic region. Initial attempts in the emergency department to remove the foreign body failed at which point the urology team at the hospital was involved. X-ray advised by us (Fig 2, 3) revealed a, smooth and coiled wire in the urethra and urinary bladder. Plenty of local anaesthetic gel was used and the wire was pulled out with some difficulty (Fig 4). This procedure in the Emergency Department was performed under local anaesthetic only without any sedation and with a single adult dose of intravenous gentamicin. After the patient passed urine normally, he was discharged with an appointment for follow up cystoscopy but failed to attend. His general practitioner was informed about this episode and advice for psychiatric referral was given.


Successful removal of a telephone cable, a foreign body through the urethra into the bladder: a case report.

Trehan RK, Haroon A, Memon S, Turner D - J Med Case Rep (2007)

Lateral view showing foreign body.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2211490&req=5

Figure 3: Lateral view showing foreign body.
Mentions: A fifty-year-old man presented with history of urethral bleeding and pain in the urethra and supra-pubic region for a few hours following insertion of a telephone wire in his urethra. He had a past history of myocardial infarction four years earlier, after which he lost his erections. He did not opt for any treatment for his impotence. The patient gained sexual gratification after inserting a thin telephone cable wire into his urethra. He had been doing this for the last three years to get erections and after masturbation he would pull the wire out. This time after repeating the same act, he was unable to pull the wire out. He tried to pull hard but this was followed by bleeding from the urethra and soon he became incontinent. Examination revealed a thin telephone wire with two ends protruding about 5 inches out of the penis (Fig 1). The patient was incontinent and dribbling urine with spasmodic pain in the supra-pubic region. Initial attempts in the emergency department to remove the foreign body failed at which point the urology team at the hospital was involved. X-ray advised by us (Fig 2, 3) revealed a, smooth and coiled wire in the urethra and urinary bladder. Plenty of local anaesthetic gel was used and the wire was pulled out with some difficulty (Fig 4). This procedure in the Emergency Department was performed under local anaesthetic only without any sedation and with a single adult dose of intravenous gentamicin. After the patient passed urine normally, he was discharged with an appointment for follow up cystoscopy but failed to attend. His general practitioner was informed about this episode and advice for psychiatric referral was given.

Bottom Line: The frequency of such cases renders these an important addition to the diseases of the genitourinary organs.In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders.Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.

View Article: PubMed Central - HTML - PubMed

Affiliation: SpR, Trauma & Orthopaedics, St George's Hospital, London, UK. trehanravi@hotmail.com.

ABSTRACT
The variety of foreign bodies inserted into or externally attached to the genitourinary tract defies imagination and includes all types of objects. The frequency of such cases renders these an important addition to the diseases of the genitourinary organs. The most common motive associated with the insertion of foreign bodies into the genitourinary tract is sexual or erotic in nature. In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders. We report a case of insertion of telephone cable wire into the urethra. Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.

No MeSH data available.


Related in: MedlinePlus