Renal insufficiency secondary to delayed presentation of a retained foreign body

We present the first report to our knowledge of progressive renal failure secondary to a retained intravesical foreign body. The urologic management of intravesical foreign bodies is challenging and is often complicated by a delay in presentation. Introduction into the bladder may be through a variety of means, including self insertion such as in this case. Extraction should be tailored according to the nature of the foreign body and should minimize bladder and urethral trauma. We report an unusual case of a 10 year delay in presentation after the insertion of two large intravesical foreign bodies manifesting as progressive renal failure and worsening lower urinary tract symptoms.