[An unusual intraurethral foreign body: a case report]

Area of Science:

• Urology
• Psychiatry

Background:

• Foreign bodies in the urethra are uncommon, with diverse insertion causes including erotic activities, psychiatric disorders, and urinary evacuation attempts.
• Diagnosis relies on clinical assessment and imaging, with endoscopic management as the preferred treatment.

Observation:

• A 64-year-old male with a history of behavioral disorders self-inserted an electric wire into his urethra.
• The patient presented for management of this foreign body.
• The case highlights the intersection of urological foreign bodies and underlying psychiatric conditions.

Findings:

• Endoscopic extraction of the urethral foreign body was successfully performed under regional anesthesia.
• The patient's condition was managed without the need for open surgery.

Implications:

• This case underscores the importance of psychiatric assessment in patients with urethral foreign bodies.
• Comprehensive management involves both urological intervention and psychiatric follow-up.
• Further research into the psychological drivers of foreign body insertion is warranted.