Thulium laser to intraurethral Gordian Knot: A novel technique

Self-inserted urethral foreign bodies are an unusual albeit well documented phenomena and cause of hospital presentation. When conservative non-operative managements fail, operative management is imperative to prevent further complications including infection, stones, diverticula, and fistula formation. Minimally invasive alternatives should be considered when cystoscopic access to the foreign body is mechanically difficult. Through this case presentation, we showcase a novel technique to consider when dealing with intraurethral foreign bodies - the use of thulium laser with rigid ureteroscope. We believe this to be the first documented case of successful intraurethral foreign body fragmentation using thulium laser.