Self-inflicted Urethrovesical Foreign Body Insertion: A Case Series

Abstract

Urethrovesical foreign bodies involve foreign bodies in the urinary tract that extend from the urethra up to the bladder. These cases are infrequently encountered in urologic practice and the management can be complicated at times. Presented here are 3 cases of self-inflicted urethrovesical foreign body insertions and discussions the strategies in its diagnoses and management. All three patients were men, with a median age of 40 years (range 30-60), and with mental health disorders. Two of the three patients underwent cystolithotomy, with the removal of the foreign bodies while one patient underwent a urethrocystoscopic removal of the foreign body. None of the patients have had any evidence of complications such as urethral stricture disease, or urinary incontinence at a mean follow up of 18 months after (range 12-24 months). The insertion of a foreign body in the urinary tract is a rare occurrence but is commonly a recurrent behavior. The management is aimed at the removal of the foreign object with the avoidance of complications. A thorough psychiatric evaluation must be included to fully evaluate the circumstances behind the act and to avoid future recurrences.