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.
View Article and Find Full Text PDFA 79-year old Caucasian male with metastatic hormone refractory prostate cancer and bilateral nephrostomy was admitted to the emergency department due to 4-day bloody urethral discharge, weakness and dizziness. The patient was treated with the luteinizing hormone-releasing hormone-antagonist and abiraterone acetate plus prednisone, dabigatran 150 mg bid (for atrial fibrillation and coronary heart disease) and 5-aminosalicylic acid for the management of mild ulcerative colitis. Imaging revealed bladder overdistention and blood analysis low levels of hematocrit (HCT) and hemoglobin (HGB) (HCT, 22%; HGB, 7.
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