Sewing Needle as Foreign Body in Urethra of an Adolescent Boy

K. Bangash, Muhammad Naeem, H. Mumtaz, Aaliah Akhtar Hayat, Mubashar Mazhar, Shahzaib Ahmad
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Abstract

Self-insertion of a foreign body in the urethra is an uncommon presentation clinically. The cases usually arise due to fulfillment of sexual desire, for recreation, play, or exploration, or the foreign body insertion may take place accidentally. We present a case of an adolescent boy with a foreign body urethra presenting to the emergency room with urinary retention, pain, and dysuria. Attending urologist suspected urethral stricture and ordered ultrasonography to investigate which turned out to be a sewing needle in his urethra. The patient was then enquired about the foreign body. He tried to self-dilate his urethra as he was experiencing lower urinary tract symptoms. The sewing needle was removed by endoscopy and he was administered with antibiotics and painkillers. The urethral foreign bodies may present with pain, dysuria, or urinary incontinence and these foreign bodies are mostly seen in the male population in the adolescent age group.
缝衣针作为异物进入青春期男孩尿道
摘要异物自插入尿道是临床上罕见的表现。这种情况通常是由于满足性欲、娱乐、玩耍或探索,或意外发生异物插入。我们提出一个病例的青春期男孩与异物尿道呈现到急诊室尿潴留,疼痛和排尿困难。主治泌尿科医生怀疑是尿道狭窄,并安排超声检查,结果发现是一根缝衣针扎进了他的尿道。然后向病人询问异物的情况。由于出现下尿路症状,他试图自行扩张尿道。内窥镜检查取出了缝衣针,并给他注射了抗生素和止痛药。尿道异物可表现为疼痛、排尿困难或尿失禁,这些异物多见于青少年男性人群。
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