Insertion of a Foreign Body Into the Urethra: A Report of a Rare Case

Many incidents of insertion of foreign bodies into the urethra have been recorded in the literature, mainly due to self-erotic stimulation, but also have been associated with intoxication, psychiatric disorders, and senility. An accurate history is sometimes difficult to be taken due to the embarrassment and fear of the patients, delaying therefore the accurate and prompt diagnosis. Besides the patient's history and clinical examination, imaging tests like ultrasound, X-ray, magnetic resonance imaging (MRI), and computed tomography (CT), potentially accompanied by psychosexual evaluation, may guide the urologist in establishing the correct diagnosis and offering the patient the appropriate holistic treatment. In this case report, a 73-year-old man presented in the emergency department with dysuria, frequent urination, and incomplete bladder emptying. A cylindrical glass tube, which was used to test the pH of alcoholic solutions, was found broken into the posterior urethra, and endoscopic extraction was successfully performed under spinal anesthesia.