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Since early reports in the literature, cases with urethral foreign bodies have been extremely variable and interestingly challenging. Various presentations have been reported, including self-insertion for sexual pleasure, assaults, trauma, and foreign bodies migration. Management by endoscopic surgery is usually a preferred option for small foreign bodies. Open surgery is reserved for large objects with difficult access. We present a case of self-insertion of a large urethral foreign body with a caliber of 45F in a young gentleman. Endoscopic extraction of the foreign body was safely successful using combined percutaneous and transurethral cystoscopy.

were more likely to undergo URS. No difference was seen in relation to gender. Hispanic patients had the highest percentage of URS encounters followed by White, then Black patients. Patients living in a large town had the highest percentage of URS encounters.

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