Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events

Placing foreign bodies into the urethra is not a common occurrence in the general population. Patients self-insert foreign bodies for a multitude of reasons such as sexual gratification, secondary gain, and psychiatric illness. From our own experience and what has been reported in the literature, th...

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Main Authors: Adam Bezinque, Ahmad Mohamed, Jeffrey White, Katie Canalichio, Dennis Peppas, Eran Rosenberg
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2021.691778/full
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author Adam Bezinque
Ahmad Mohamed
Jeffrey White
Katie Canalichio
Dennis Peppas
Eran Rosenberg
author_facet Adam Bezinque
Ahmad Mohamed
Jeffrey White
Katie Canalichio
Dennis Peppas
Eran Rosenberg
author_sort Adam Bezinque
collection DOAJ
description Placing foreign bodies into the urethra is not a common occurrence in the general population. Patients self-insert foreign bodies for a multitude of reasons such as sexual gratification, secondary gain, and psychiatric illness. From our own experience and what has been reported in the literature, there is a wide variability in the type of objects that patients place into the urethra. We report a unique case of a 17-year-old adolescent boy with repeated foreign body insertions into the urethra over a 1-year period. This patient suffers from significant psychiatric illness. Due to the number of events in this past year, we initiated a conservative observational approach that contrasts the traditional invasive protocol to treat with endoscopic removal. This management has proven to be successful in his case and can be replicated in other scenarios after careful consideration of the clinical presentation.
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spelling doaj.art-447ef845ebe547ce94228c97162a3e8b2022-12-21T18:49:37ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-07-01910.3389/fped.2021.691778691778Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated EventsAdam Bezinque0Ahmad Mohamed1Jeffrey White2Katie Canalichio3Dennis Peppas4Eran Rosenberg5Department of Urology, University of Louisville, Louisville, KY, United StatesDepartment of Pediatric Urology, Norton Healthcare, Louisville, KY, United StatesDepartment of Pediatric Urology, Norton Healthcare, Louisville, KY, United StatesDepartment of Pediatric Urology, Norton Healthcare, Louisville, KY, United StatesDepartment of Pediatric Urology, Norton Healthcare, Louisville, KY, United StatesDepartment of Pediatric Urology, Norton Healthcare, Louisville, KY, United StatesPlacing foreign bodies into the urethra is not a common occurrence in the general population. Patients self-insert foreign bodies for a multitude of reasons such as sexual gratification, secondary gain, and psychiatric illness. From our own experience and what has been reported in the literature, there is a wide variability in the type of objects that patients place into the urethra. We report a unique case of a 17-year-old adolescent boy with repeated foreign body insertions into the urethra over a 1-year period. This patient suffers from significant psychiatric illness. Due to the number of events in this past year, we initiated a conservative observational approach that contrasts the traditional invasive protocol to treat with endoscopic removal. This management has proven to be successful in his case and can be replicated in other scenarios after careful consideration of the clinical presentation.https://www.frontiersin.org/articles/10.3389/fped.2021.691778/fullurethral foreign bodyvoidobservationpsychiatric illnessurethra
spellingShingle Adam Bezinque
Ahmad Mohamed
Jeffrey White
Katie Canalichio
Dennis Peppas
Eran Rosenberg
Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events
Frontiers in Pediatrics
urethral foreign body
void
observation
psychiatric illness
urethra
title Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events
title_full Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events
title_fullStr Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events
title_full_unstemmed Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events
title_short Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events
title_sort conservative management for urethral foreign body a case report of an adolescent boy with repeated events
topic urethral foreign body
void
observation
psychiatric illness
urethra
url https://www.frontiersin.org/articles/10.3389/fped.2021.691778/full
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