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Vol. 84, No. 4, 2010
Issue release date: May 2010
Urol Int 2010;84:471–475

Review of Intentionally Self-Inflicted, Accidental and Iatrogetic Foreign Objects in the Genitourinary Tract

Rieder J. · Brusky J. · Tran V. · Stern K. · Aboseif S.
Department of Urology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, Calif., USA

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Purpose: Retrospective evaluation of a series of patients presenting with genitourinary foreign objects. Patients and Methods: From 1997 to 2007, 11 men and 2 women were treated for a variety of foreign objects in the genitourinary tract. Medical records were reviewed for presentation, diagnosis, mental status, drug dependency, treatment, and follow-up. Results: 13 patients were seen for removal of the foreign objects or for treatment of the sequela. These objects were intentionally self-inflicted, accidentally introduced or iatrogenic in nature. Intentional objects included: safety pins, screwdriver, marbles, pen cap, pencils, straw, cocaine, stiff metal wire and part of a pizza mixer. Accidental objects included: magnets, female catheter, urinary incontinence devices and part of a Foley catheter. The iatrogenic object was a reservoir from an inflatable penile implant. Smaller noninjurious objects were retrieved cystoscopically or at the bedside; larger objects or objects associated with trauma to the urethra needed open and reconstructive operations. Conclusions: Generally thought to be self-inflicted for personal gratification, the source of genitourinary objects can also be accidental or iatrogenic. The most traumatic injuries are purposely self-inflicted and found in patients who remove the objects themselves. These patients are at higher risk of permanent urethral damage needing complex surgical treatment and follow-up.

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  1. Poulet A: A Treatise on Foreign Bodies in Surgical Practice. London, Sampson Low, Marston, Searle, & Rivington, 1881, vol 2, pp 99–104.
  2. Aboseif S, Gomez R, McAninch J: Genital self-mutilation. J Urol 1993;150:1143–1146.
  3. Pounder DJ: Ritual mutilation: subincision of the penis among Australian Aborigines. Am J Forensic Med Pathol 1983;4:227–229.
  4. Wiwanitkit V: Penile injection of foreign bodies in eight Thai patients. Sex Transm Infect 2004;80:546.
  5. Brusky J, Tamaddon K, Imbasciani V, Aboseif S: Removal of an unusual foreign body from the bladder and urethra. J Trauma 2008;65:1568.
  6. Byard RW, Eitzen DA, James R: Unusual fatal mechanisms in nonasphyxial autoerotic death. Am J Forensic Med Pathol 2000;21:65–68.
  7. Van Ophoven A, DeKernion J: Clinical management of foreign bodies of the genitourinary tract. J Urol 2000;164:274–287.
  8. Pal DK, Bag AK: Intravesical wire as foreign body in urinary bladder. Int Braz J Urol 2005;31:472–474.
  9. Toorop RJ, Bender MH, Charbon JA, Pasmans H, Scheltinga MR: Abberant sex habits leading to acute limb ischemia and hematuria. Eur J Vasc Endovasc Surg 2007;33:340–342.
  10. Goodman A: Sexual addiction: diagnosis and treatment. Psychiatr Times 1998;15:22.
  11. Thomas S, Brown D: Foreign bodies; in Marx J (ed): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 6. Philadelphia, Mosby Elsevier, 2006, pp 859–879.

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