Foreign Bodies in Urethra and Bladder by Implements Used during Sex Behavior

Abstract

Purpose: The variety of foreign bodies inserted into the genitourinary tract defies imagination, and their extraction should be tailored as surgery, endoscopic manipulation and dissolution according to the nature of the foreign bodies and should minimize bladder and urethral injury. In the current study, we present 7 cases of foreign bodies that occured during sexual behavior, along with a brief review of some related literatures. Materials and Methods: In this retrospective study, 7 patients who were diagnosed and treated from June 1995 to December 2002, were reviewed for their brief histories and important findings including radiographic findings. Results: Foreign bodies were found in the bladder(3 cases), urethra(3 cases), and both bladder and urethra(1 case). Four patients underwent endoscopic removal of the foreign bodies, while open surgery was required for the other three since endoscopic procedure was not successful in two patients, and could not be applied to the third. Conclusions: Endoscopic removal is the treatment of choice for inserted foreign bodies. Open surgery, however, can be considered if endoscopic procedure fails or cannot be applied.