Journal of Advances in Medicine and Medical Research

Aim: Foreign bodies of lower urinary tract are not uncommon, caused by accidental events, deliberate insertion for auto eroticism or migration from adjacent organs, [1] which is one of the causes of urological emergency. Removal may be as simple as just pulling the foreign body manually or endoscopically to surgical procedures as in this case.

Presentation of Case: We present a young male with an electric wire in the urinary bladder inserted via urethral orifice. Failed attempt of cystoscopic removal lead to open surgery. 

Discussion: Foreign body in the lower urinary tract is most often self inflicted but can be accident or migration from adjacent organs or iatrogenic occurrence. Most of the cases have been associated with self-exploration and for sexual pleasure, the urge to derive some pleasurable sensation is driven by a psychological predisposition for sexual gratification. Or it can be an impulsive behaviour, self punishing in nature and may progress to suicidal tendency.

Conclusion: Patients with chronic lower urinary tract infections should be suspected for Urinary tract foreign bodies, which could be removed by the least invasive methods based on the location, nature and number of foreign body. Open surgical interventions are reserved for those in whom endoscopic therapy has failed or unsuitable.