Intravesical foreign body in a 12-year-old boy

Pramod S., Anukethan J., Ravikiran K.


Self-insertion of foreign body in lower urinary tract is rare in children. It is commonly seen in adults. The reason for self-insertion may be accidental, due to psychiatric illness, curiosity, sexual stimulation or therapeutic in cases of stricture. Most of the cases reported are in adults. Here we present a 12-year-old child presenting with self-insertion of metallic hair pin into the lower urinary tract with symptoms of dysuria and retention of urine. X-ray and ultrasonography were diagnostic modalities which aided in the diagnosis. The child underwent successful cystoscopic removal of foreign body after thorough investigation. Post removal child underwent psychiatric evaluation. He was not suffering from any psychiatric condition. He admitted having inserted the hair pin out of curiosity. Child was passing urine in good stream at time of discharge. At six months follow up child remains asymptomatic.


Cystoscopy, Foreign body, Self-insertion

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Rajesh L, Kader A, and Bhat VB. Unusual foreign body in the male urethra. Indian Pediatr. 2000;37(4):450-2.

van Ophoven A, DeKernion JB. Clinical management of foreign bodies of the genitourinary tract. J Urol. 2000;164(2)274-87.

Jung US, Lee JH, Kyung MS. Laparoscopic removal of an intravesical foreign body after laparoscopically assisted vaginal hysterectomy, a case report and review of the literature. Surg Laparosc Endosc Percutan Tech. 2008;18(4):420-7.

Martinez-Valls PL, Honrubia VB, Rodriguez TA. Voiding symptoms as presentation of an intravesical foreign body. Arch Esp Urol. 2008;61(7):781-5.

Sukkarieh T, Smaldone M, Shah B. Multiple foreign bodies in the anterior and posterior urethra. Int Brazilian J Urol. 2004;30(3)219-20.

Rafique M. Case report: an unusual intravesical foreign body: cause of recurrent urinary tract infections. Int Urol Nephrol. 2002;34(2):205-6.

Barzilai M, Cohen I, Stein A. Sonographic detection of a foreign body in the urethra and urinary bladder. Urologia Internationalis. 2000;64(3):178-80.

Rahman NU, Elliott SP, McAninch JW. Self-inflicted male urethral foreign body insertion: endoscopic management and complications. Br J Urol Int. 2004;94(7):1051-3.

Hutton KAR, Huddart SN. Percutaneous retrieval of an intravesical foreign body using direct transurethral visualization: a technique applicable to small children. Br J Urol Int. 1999;83(3)337-8.

Tahaoglu M, Ozturk S, Ozturk H. Self-insertion of needle as urethral foreign body after sexual gratification: an unusual case report. Pediatr Urol Case Rep. 2014;1(5):10-4.

Wyman A, Kinder RB. Squamous cell carcinoma of the bladder associated with intrapelvic foreign bodies. Br J Urol. 1988;61(5):460.