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Background/objectives: An electric wire inserted into the bladder or urethra presents a specific challenge that is frequently encountered in such cases: the potential formation of a tight knot, making extraction nearly impossible. The primary objective of this study was to share our personal experience with patients who had intravesical electric cable insertions and to provide an extensive literature review, offering detailed insights into the various strategies reported for managing such foreign body cases.

Methods: Of the four cases with a foreign body in the lower urinary tract, two involved patients aged 19 and 53, respectively, who had inserted an electric cable.

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Self-insertion of foreign bodies into the urethra is uncommon and is often associated with complex psychological or behavioral factors. Many cases of foreign bodies in the urethra have been reported worldwide with variable complaints of penile pain, penile itching, dysuria, hematuria, and complete obstruction of urine. These foreign objects are managed to remove according to their size, complexity of shape, and location in the urethra.

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The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches. A retrospective cohort study was undertaken to identify the patients who presented with self-inserted genitourethral foreign body to adult tertiary centers within our local health network (Southern Adelaide Local Health Network, Adelaide, Australia) from October 2002 to October 2022. Patient demographics, type of foreign body, psychiatric comorbidities, retrieval techniques, complications, and readmission data were extracted.

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Article Synopsis
  • - Foreign bodies in the lower urinary system, though rare, can lead to pain, blood in urine, or infections, with diagnosis typically confirmed through clinical examination and pelvic X-ray.
  • - A case study describes a 25-year-old male who experienced pain after inserting a wire into his urethra, which was found coiled and knotted in his bladder during an X-ray.
  • - Treatment involved a successful open cystostomy to remove the wire, and a psychiatric evaluation was recommended since foreign body cases are often linked to psychological issues.
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Article Synopsis
  • People sometimes put things like styrofoam into their bladder, but it's pretty rare.*
  • Doctors might not realize this is happening because patients often don’t tell them, and the medical scans can look confusing.*
  • It's important for doctors to be careful when younger patients have bladder problems, and they might need to check how a patient feels mentally to stop this from happening again.*
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