Self-Inserted Knotted Wire Through the Urethra: A Case Report

Foreign bodies in the lower urinary system are relatively uncommon. The foreign body can cause significant discomfort, hematuria, or infection of the urinary system. Diagnosis is usually made by clinical examination and pelvic X-ray. The case we present is interesting in that the foreign body, that is the wire, coiled and made a knot within the bladder. We report a case of a 25-year-old male who presented with a history of dysuria after the insertion of a foreign body into the urethra. Examination showed a wire protruding from the urethra with no bleeding or discharge. X-ray showed a wire from the meatus, coiled and tied in the bladder. Open cystostomy and extraction of the wire were done successfully. Foreign bodies are usually a result of psychological illness. Thereby, psychiatric evaluation is needed in such a presentation. Management should be started by a trial of retrieval or, if failed, endoscopically or by open cystostomy.