A case report of a self-inserted foreign body in the urethra/bladder causing urinary calculus formation, and a review of the literature

Amirreza Fotovat; Samira Yavari; Mohsen Ayati; Mohammad Reza Nowroozi; Laleh Sharifi

doi:10.1016/j.heliyon.2023.e14038

A case report of a self-inserted foreign body in the urethra/bladder causing urinary calculus formation, and a review of the literature

Heliyon. 2023 Feb 26;9(3):e14038. doi: 10.1016/j.heliyon.2023.e14038. eCollection 2023 Mar.

Authors

Amirreza Fotovat¹, Samira Yavari², Mohsen Ayati¹, Mohammad Reza Nowroozi¹, Laleh Sharifi¹

Affiliations

¹ Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
² Department of Anesthesiology, School of Medicine, Esfahan University of Medical Sciences, Esfahan, Iran.

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.

Keywords: Bladder; Bladder stone; Foreign body; Hydronephrosis; Lower genitourinary system; Urethra.

Publication types

Case Reports