TY  - EJOU
AU  - Forde, J. C. 
AU  - Casey, R. G. 
AU  - Grainger, R. 

TI  - An unusual penpal:  case report and literature review of posterior urethral injuries secondary to foreign body insertion
T2  - Canadian Journal of Urology

PY  - 2009
VL  - 16
IS  - 4
SN  - 1488-5581

AB  - We report the case of a 57-year-old male who attended the emergency department after inserting a ballpoint pen into his urethra 24 hours earlier during a sexual encounter. Rigid cystoscopy was performed and confirmed the foreign body to have caused a partial rupture of the posterior urethra. It was subsequently removed using a combination of graspers and stone retrieval baskets.

Self insertion of foreign bodies into the urethra is often as a result of psychiatric disturbance, alcohol intoxication or as a means of sexual gratification. Posterior urethral injuries are more commonly associated with pelvic trauma and iatrogenic injuries. Injury secondary to self insertion of a foreign body is infrequently reported. Temporary insertion of a urethral catheter may be necessary. We reviewed the literature in relation to this unusual problem.
KW  - foreign body
KW  -  posterior urethra
KW  -  self insertion
KW  -  urethral injury

DO  -