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Self-introduction of a two-meter nylon string into the urinary bladder: A case report
Firmantya Hadi Pranata1,2, Yudhistira Pradnyan Kloping1,2, Doddy Moesbadianto Soebadi1,2
1Department of Urology, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia.
Radiology Case Reports
|February 2, 2022
Summary
Patients sometimes insert foreign objects into the urinary bladder for sexual pleasure, presenting diagnostic and management challenges. This case highlights a two-meter nylon string self-inserted by a man for gratification.
Area of Science:
- Urology
- Psychiatry
Background:
- Foreign bodies in the urinary bladder are uncommon but pose significant diagnostic and management challenges.
- Patients may delay seeking medical help due to embarrassment or guilt associated with self-insertion, often linked to psychiatric issues or sexual gratification.
Observation:
- A case report of a 37-year-old male patient presenting with a self-inserted foreign body.
- The foreign body was identified as a two-meter nylon string introduced via the urethra.
Findings:
- The patient deliberately inserted the nylon string for sexual gratification.
- Delayed presentation due to psychological factors complicated the urological management.
Implications:
- Highlights the importance of considering psychiatric and psychosexual factors in foreign body insertion cases.
- Emphasizes the need for a non-judgmental approach in managing patients with self-inserted foreign bodies to ensure timely diagnosis and treatment.
- Underscores the challenges in diagnosing and managing urinary bladder foreign bodies, especially when self-inflicted.
