Foreign body (kidney beans) in urinary bladder: An unusual case report

Abstract

IntroductionForeign body in urinary bladder has always been a topic of interest amongst the urologists and surgeon. Foreign body in lower urinary tract is not an unusual finding. Different types of foreign bodies has been retrieved from the lower urinary tract like for example, electric wire, safety pin, hairclip, intrauterine contraceptive device (IUCD), gauze pieces, battery, leech, hairballs and so on.This article presents an unusual case report of the presence of kidney beans in the bladder, self-inflicted by the patient in the middle of the night for the purpose of sexual gratification or autoerotism. A 25 years old male patient, chef by occupation, presented to the outpatient department with history of insertion of 4 kidney beans 3 days back through his penis during the act of masturbation. The patient had complaints of dysuria, one episode, next morning after the act, which was relieved thereafter. Patient came to us only for the purpose of removal of the kidney beans. Attempt was made to remove the beans by non-invasive method by cystoscopy but as the beans were soaked in urine they got swollen and forceps removal was not possible. Hence, the kidney beans were removed by an invasive method by a suprapubic incision.ConclusionThere has been many cases reported in literature about insertion of foreign bodies in bladder but presence of kidney beans in bladder is first of its kind as far as our knowledge is concerned.

Beans in the wrong stalk: A case of urethral foreign bodies

“…Additionally, objects not retrievable through endoscopic practice may require urethrotomy, meatotomy, or cystotomy. 4 , 5 One similar case of urethral kidney beans ended in a cystotomy after the beans had swollen over several days which made endoscopic retrieval impossible. While typically endoscopic management has a high success rate, some risks include pushing foreign bodies further retrograde or damaging the urethral mucosa.…”

“…1 Open surgery may be required in cases involving intravesicular foreign bodies, larger objects, or irregularly shaped small objects. 1 , 3 , 4 , 5 Post-operative care may include a course of antibiotics and catherterization. 1…”

“…Reasons for placement include sexual stimulation, psychiatric illness, sexual assault, or even attempts to relieve urinary obstruction. 1 , 2 , 3 , 4 , 5 Additionally, considering the taboo nature of the topic, it is often challenging to ascertain the underlying reason for placement. Cases can frequently be managed endoscopically, but may require more invasive modalities including meatotomy, urethrotomy, or cystotomy.…”

Foreign body cystitis in a male guinea pig due to a sedge (Carexspecies) leaf

“…The urinary bladder is a localisation of minor importance in pet animals but has nevertheless been described in dogs,13 14 cats13 and horses 15. In people intravesical foreign bodies are far more common as they are most often introduced on purpose for sexual gratification16 or may be seen as a sequela of intrauterine contraceptive devices in female patients 17. In pet animals, described foreign body cystitis is either of iatrogenic origin (eg, suture material)18 or as a consequence of migrating foreign bodies, most often grass awns, but also needles19 or popsicles 20.…”

Bolígrafo como cuerpo extraño de larga evolución intrauretral: reporte de un caso

“…(13) Se ha descrito también la cistouretrografía, particularmente si se trata de un objeto radiopaco, tal y como se realizó en nuestro paciente. (17,18) La uretrocistografía en este caso, confirmó la ubicación, características y movilidad del objeto al momento de inyectar el contraste contrario al flujo normal de la orina, además permitió descartar una estenosis uretral asociada debido a la prolongada estancia del cuerpo extraño en la uretra peneana, así como la ausencia de formación de un divertículo o una falsa vía provocada durante la introducción del cuerpo extraño y/o necrosis uretral con comunicación a los cuerpos cavernosos o esponjoso, verificado con conforme a la ausencia de paso de contraste hacía estos.…”