Self-Insertion of Foreign Bodies in Urethra and Bladder: Report of Three Pediatric Cases


  • Sofia Ferreira de Lima Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Ana Cebola Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal
  • Sara Cordeiro Pereira Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Rui Alves Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisboa, Portugal



Child, Foreign Bodies, Urethra, Urinary Bladder


Self-inserted urethrovesical foreign bodies are rare in children.We present three cases and discuss the clinical presentation, diagnosis and management of such patients. In case 1, a 16-year-old boy introduced a wire into the urethra and partially into the bladder three days before. In case 2, a 4-year-old boy introduced a hairpin in the urethra in the same day. In case 3, a 11-year-old boy introduced a sewing needle in the urethra a few hours before. Cystourethroscopy and suprapubic cystotomy were used to remove the foreign bodies. The presentation of urethrovesical foreign bodies can vary widely, as can the type of object inserted. Foreign body retrieval is determined by its morphology and the patient’s conditions with the aim to minimise urothelial trauma and preserve erectile function. Definitive treatment is usually the endoscopic removal, however sometimes surgical intervention may be required. It is advocated follow-up with long duration, which is necessary to diagnose the long-term complications including urethral stricture.


Download data is not yet available.


Fath elbab T, Abdelhamid A, Galal E, Anwar A, Malek M, Tawfiek E. Management of intravesical self-inflicted sharps objects in children:10-year single-center experience. JPurol.2016; 12:97.e1-97.e5

Bedi N, El-HUsseiny T, Buchholz N, Masood J. Putting lead in your pencil: self-insertion of an unusual urethral foreign body for sexual gratification. J R Soc Med Sh Rep.2010;1:18

Ray R, Ghosh B, Pal D. Urethral foreign body in an adolescent boy: report of two rare cases and review of literature. Int J Adolesc Med Health. 2015;27(4): 463-465

Rahmani M, Shakiba B, Ameli M. Management of an extremely long foreign body in the urethra and bladder of a 13-year-old boy: a case report. Thrita J Med Sci. 2013; 2(3):35-7

Rieder J, Brusky J, Tran V, Stern K, Aboseif S. Review of intentionally self-inflicted, accidental and iatrogenic foreign objects in the genitourinary tract. Urol Int. 2010; 84:471-475

Palmer C, Houlihan M, Psutka S, Ellis K, Vidal P, Hollowell C. Urethral foreign bodies: clinical presentation and management. J Urology.2016; 97: 257-260

Naidu K, Chung A, Mulcahy M. An unusual urethral foreign body. IJSCR.2013; 4: 1052-1054

Ceran C, Uguralp. Self-inflicted urethrovesical foreign bodies in children. Case reports in Urology.2012; 1-3

Hedge A, Choubey S, Kanagali R, Pipara G, Rao A, Mohan A. Listening to his inner voice? An unusual urethral foreign body: A review of literature and few learning points. Asian J AJUR.2018;5: 131-132.

Moon S, Kim D, Chung J, Jo J, Son Y, Choi H et al. Unusual foreign bodies in the urinary bladder and urethra due to autoerotism. Int Neurourol J.2010;14(3):186-189

Stravodimos K, Koritsiadis G, Koutalellis G. Electrical wire as foreign body in a male urethra: a case report. J Medical Case reports.2009;3:49

Prasad S, Smith A, Uson A, Melicow M, Lattimer J.Foreign bodies in urinary bladder.Urology.1973; 2(3): 258-264

Osca M, Broseta E, Server G, Ruiz J, Gallego J, Jimenez-Cruz J. Unusual Foreign bodies in the urethra and bladder. British Journal of Urology.1991; 68:510-512