“Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”

Abstract Background A large number of self-inflicted foreign bodies have been reported in the male urethra and urinary bladder. Polyembolokoilamania is a Greek derivative describing the behavioral phenomenon of inserting foreign objects into bodily orifices. Case presentation We report a 27-year-old...

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Main Authors: Arian Karimi Rouzbahani, Bahar Amiri, Ahad Fazeli, Behzad Yousefi Yeganeh
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Urology
Subjects:
Online Access:https://doi.org/10.1186/s12894-025-01703-z
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author Arian Karimi Rouzbahani
Bahar Amiri
Ahad Fazeli
Behzad Yousefi Yeganeh
author_facet Arian Karimi Rouzbahani
Bahar Amiri
Ahad Fazeli
Behzad Yousefi Yeganeh
author_sort Arian Karimi Rouzbahani
collection DOAJ
description Abstract Background A large number of self-inflicted foreign bodies have been reported in the male urethra and urinary bladder. Polyembolokoilamania is a Greek derivative describing the behavioral phenomenon of inserting foreign objects into bodily orifices. Case presentation We report a 27-year-old unmarried male who presented the emergency department after inserting a knotted electrical wire with a glass tube at the top of his bladder. The patient admitted he inserted soft objects into his penis for pleasure, curiosity, feelings of emptiness, and the need for sexual excitement. A pelvic x-ray confirmed the presence of a knotted wire stump within the urinary bladder. Faced with these challenges, we tried utilizing a 7.5 F, 26-cm pediatric flexible cystoscope. Despite our best efforts, the tightness of the knot proved insurmountable. Under spinal anesthesia, a suprapubic cystotomy was performed, and the wire was untied and retrieved from the urinary bladder via the urethra. Conclusion When the urethra is too narrow for an adult cystoscope, a pediatric cystoscope can be a considerable intervention option.
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institution Kabale University
issn 1471-2490
language English
publishDate 2025-02-01
publisher BMC
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series BMC Urology
spelling doaj-art-a8ae3d0cc2df4d32a3c3da860cbf70b52025-02-09T12:56:17ZengBMCBMC Urology1471-24902025-02-012511510.1186/s12894-025-01703-z“Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”Arian Karimi Rouzbahani0Bahar Amiri1Ahad Fazeli2Behzad Yousefi Yeganeh3Razi Herbal Medicines Research Center, Lorestan University of Medical SciencesStudent Research Committee, Lorestan University of Medical SciencesDepartment of Psychiatry, Lorestan University of Medical SciencesDepartment of Urology, Lorestan University of Medical SciencesAbstract Background A large number of self-inflicted foreign bodies have been reported in the male urethra and urinary bladder. Polyembolokoilamania is a Greek derivative describing the behavioral phenomenon of inserting foreign objects into bodily orifices. Case presentation We report a 27-year-old unmarried male who presented the emergency department after inserting a knotted electrical wire with a glass tube at the top of his bladder. The patient admitted he inserted soft objects into his penis for pleasure, curiosity, feelings of emptiness, and the need for sexual excitement. A pelvic x-ray confirmed the presence of a knotted wire stump within the urinary bladder. Faced with these challenges, we tried utilizing a 7.5 F, 26-cm pediatric flexible cystoscope. Despite our best efforts, the tightness of the knot proved insurmountable. Under spinal anesthesia, a suprapubic cystotomy was performed, and the wire was untied and retrieved from the urinary bladder via the urethra. Conclusion When the urethra is too narrow for an adult cystoscope, a pediatric cystoscope can be a considerable intervention option.https://doi.org/10.1186/s12894-025-01703-zBladderCase reportForeign-bodyPolyembolokoilamania
spellingShingle Arian Karimi Rouzbahani
Bahar Amiri
Ahad Fazeli
Behzad Yousefi Yeganeh
“Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”
BMC Urology
Bladder
Case report
Foreign-body
Polyembolokoilamania
title “Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”
title_full “Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”
title_fullStr “Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”
title_full_unstemmed “Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”
title_short “Knotted electrical wire with a glass tube at the top as a foreign body in a male urethra: a case report”
title_sort knotted electrical wire with a glass tube at the top as a foreign body in a male urethra a case report
topic Bladder
Case report
Foreign-body
Polyembolokoilamania
url https://doi.org/10.1186/s12894-025-01703-z
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