When unusual corpus alienum invade the urethra in schizophrenia patients: A case report

The presence of foreign or unexpected external objects in the urinary tract, including the urethra, is a rare case. This case is a challenge for patients with schizophrenia. This case report presents when the unusual corpus alienum invades the urethra in schizophrenia patients.

A 54-year-old man was referred to the emergency room with corpus alienum tweezers inside the urethra. The patient had a history of schizophrenia 30 years ago and had not been routinely treated for the past year. From the physical examination, it was found that the tip of the tweezers penetrated out of the penile gland, and the patient could still urinate without bloody fluid. A pelvic X-ray shows tweezers in the urethra. The results of the urethrography showed a corpus alienum with both ends penetrating the penile gland. There is no clear contrast image visible filling the anterior urethra and a contrasting backflow from the urethra to the hole where the end of the corpus alienum comes out. Management of schizophrenia patients, given haloperidol tablets 2.5 mg/12 h and regular check-ups at psychiatric clinics.

Treatment is based on two steps: foreign body extraction and psychiatric treatment for mental illness. Patients need routine treatment, and haloperidol is one of the drugs that can be used.

Extraction management of corpus alienum urethra must be carried out immediately to prevent complications. Comprehensive management is needed if there are other diseases, such as schizophrenia, in these patients to prevent recurrence.