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      Successful Removal of an Intravesical Electrical Wire Cable

      case-report

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          Abstract

          A few previous reports have described cases wherein electrical wire cables were inserted into the male urethra and bladder. Electrical wire cables are available at home and are easy to insert. However, after they coil in the patient's bladder, they are difficult to remove. In February 2013, a 30-year-old man presented to the emergency room of SMG-SNU Boramae Medical Center with a urethral foreign body. He had inserted an electrical wire cable into his urethra for the purpose of masturbation, despite having a regular sex partner and no underlying disease. A kidney-ureter-bladder radiography showed a tangled wire in his bladder and urethra. On the next day, we tried to remove the wire cystoscopically, but this proved to be impossible because of complex coiling and the slippery surface of the wire. A Pfannenstiel incision was made to remove the foreign body. No postoperative complications were noted.

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          Most cited references14

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          Electrical wire as a foreign body in a male urethra: a case report

          Introduction Self-inflicted foreign bodies in the male urethra and urinary bladder are an emergency that urologists may rarely have to face. A case of an electrical wire inserted in the male urethra and coiled in the bladder is presented. Case presentation A 53-year-old male presented with the inability to void and bloody urethral discharge after having introduced an electrical wire in his urethra for masturbation 3 hours earlier. He had made several unsuccessful attempts to remove it. Conclusion The variety of these objects may be impressive and removal of the foreign body may be quite challenging requiring imagination and high-level surgical skills., In this case an electrical wire was used and the diagnostic as well as the therapeutic steps for its removal are presented.
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            Intravesical foreign bodies: a case report and a review of the literature

            Aim We report a case of intravesical polyvinyl-coated electric wire in the urinary bladder. Case report A 34-year-old man presented in our clinic with irritative lower urinary tract symptoms. Three weeks earlier he had seen and felt a wire in his urethra of which he was unaware of the origin. Radiologic evaluation revealed an electric wire completely coiled up in the urinary bladder. It was removed through a suprapubic cystotomy. Discussion Patients are usually too ashamed to admit the cause of an intravesical foreign body, which is often sexual or erotic in origin. Radiologic evaluation usually reveals the nature and size of the foreign body in the bladder of patients evaluated for recurrent urinary tract infection. Open surgery or an endoscopic approach may be used for their extraction.
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              Unusual foreign bodies in the urethra and bladder.

              We report 8 cases of self-inserted unusual foreign bodies in the lower urinary tract, all being treated from 1976 to 1990. Three of them were located in the urethra and 5 in the bladder. Several objects were found (electric cable, tweezers, hairpin, drawing pin, pebbles, paper clip). In 4 cases the objects were inserted for masturbatory purposes. Five of the patients were psychologically ill or handicapped. The most common reason for consultation was dysuria, and the treatment procedures were endoscopy in 5 patients and cystotomy in the other 3.
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                Author and article information

                Journal
                World J Mens Health
                World J Mens Health
                WJMH
                The World Journal of Men's Health
                Korean Society for Sexual Medicine and Andrology
                2287-4208
                2287-4690
                August 2014
                26 August 2014
                : 32
                : 2
                : 120-122
                Affiliations
                [1 ]Department of Urology, Seoul National University Hospital, Seoul, Korea.
                [2 ]Department of Urology, SMG-SNU Boramae Medical Center, Seoul, Korea.
                Author notes
                Correspondence to: Hwancheol Son. Department of Urology, SMG-SNU Boramae Medical Center, 20 Boram ae-ro 5-gil, Dongjak-gu, Seoul 156-849, Korea. Tel: +82-2-870-2391, Fax: +82-2-870-3863, volley@ 123456snu.ac.kr
                Article
                10.5534/wjmh.2014.32.2.120
                4166371
                06228df2-388f-4017-9b30-7da82b1a1776
                Copyright © 2014 Korean Society for Sexual Medicine and Andrology

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 June 2013
                : 11 October 2013
                : 14 October 2013
                Categories
                Case Report

                foreign bodies,masturbation,urinary bladder
                foreign bodies, masturbation, urinary bladder

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