Metal-Wired Plastic Beads as A Urethral Foreign Body in A Male with Erectile Dysfunction: A Case Report

Abstract

Abstract Introduction : Self-insertion of urethral foreign bodies are rare and unique urological emergencies. These cases are unique in terms of the object inserted as well as the reasons behind the insertion. Erectile dysfunction, among other factors, might present as an underlying reason for these cases. We present a case of plastic beads as a urethral foreign body in a male with erectile dysfunction. Case presentation : 46-year-old male came to the emergency department with signs and symptoms of urosepsis after inserting 4 necklace beads into his urethra during sexual intercourse in order to overcome his erectile dysfunction. The foreign body was successfully retrieved by urethroscopy after managing the urosepsis. Due to their rarity, there is still no guideline on the management of these cases. Conclusion : Adequate imaging of the foreign object, proper planning of extraction methods, simultaneous diagnosis and management of existing complications, follow ups, as well as addressing the underlying reasons for foreign object insertion are the keys to successfully managing these rare and challenging cases.