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Article Abstract
Background: Urethral foreign body insertion is an underreported issue in adolescents. Migration to the scrotum is exceptionally rare, with < 20 cases reported. We highlight diagnostic and management challenges.
Case Summary: A 14-year-old boy presented with 11 days of progressive scrotal pain, swelling, and fever (38.5 °C). Computed tomography (CT) revealed an 8-cm hyperdense foreign body extending from the urethra into the scrotum. Surgical exploration identified an embedded cotton swab with purulent exudate. Combined scrotal exploration and cystoscopy achieved complete retrieval. After a 3-week catheterization, recovery was uneventful. One-year follow-up showed spermatic cord fibrosis but preserved testicular function.
Conclusion: Cross-sectional imaging is critical for diagnosis. Combined surgical approaches optimize outcomes for large migrated foreign bodies. Adolescents require psychological intervention to prevent recurrence.
Supplementary Information: The online version contains supplementary material available at 10.1186/s12894-025-01886-5.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369082 | PMC |
| http://dx.doi.org/10.1186/s12894-025-01886-5 | DOI Listing |
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