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Article Abstract

Several self-inserted foreign bodies have been reported in the lower genitourinary system. We report a 27-year-old man with suprapubic severe pain, purulent discharge from the urethra and dribbling. He had a history of psychotic disorders and inserting an ink chamber of a pen into the urethra. Imaging showed hydronephrosis and a large urinary stone in the bladder with no sign of foreign body. During open cystotomy, we found that bladder stone was attached to a plastic tube that was extended into the patient's urethra. In such cases, timely surgery to prevent urinary retention and psychological support are required.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10009441PMC
http://dx.doi.org/10.1016/j.heliyon.2023.e14038DOI Listing

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Article Synopsis
  • - Foreign bodies in the lower urinary system, though rare, can lead to pain, blood in urine, or infections, with diagnosis typically confirmed through clinical examination and pelvic X-ray.
  • - A case study describes a 25-year-old male who experienced pain after inserting a wire into his urethra, which was found coiled and knotted in his bladder during an X-ray.
  • - Treatment involved a successful open cystostomy to remove the wire, and a psychiatric evaluation was recommended since foreign body cases are often linked to psychological issues.
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