Self-introduction of foreign body into urinary bladder

Area of Science:

• Pediatric Urology
• Child Psychiatry

Background:

• Foreign body ingestion and insertion is a recognized, albeit uncommon, occurrence in pediatric patients.
• The urinary tract is a potential site for foreign bodies, necessitating specialized diagnostic and therapeutic approaches.

Observation:

• A 142-cm knotted electric cable was successfully removed cystoscopically from the bladder of a 12-year-old female patient.
• The patient's psychiatric evaluation indicated normal childhood curiosity and inquisitiveness, with no evidence of pathological mental processes.

Findings:

• Cystoscopic removal is an effective minimally invasive technique for managing bladder foreign bodies of significant length.
• The absence of psychopathology underscores that such incidents can arise from non-pathological behaviors.

Implications:

• Management of pediatric patients with urinary tract foreign bodies requires a multidisciplinary approach involving urologists and child psychiatrists.
• This case emphasizes the importance of considering behavioral and psychological factors in the etiology of foreign body insertion in children.