Unusual intravesical foreign body in young female migrated from vagina due to autoerotism

Intravesical foreign body: An unusual case report with emphasis on treatment modality

“…Almost any thinkable object has been reported as a foreign body in the bladder (1). Intravesical foreign bodies reach bladder in three different ways, including self-insertion through the urethra or traumatic path, iatrogenic, and migratory (2,3). The most common motive associated with the selfinsertion of foreign bodies to the genitourinary tract is sexual or erotic in nature (4).…”

Re: unusual intravesical foreign body in a young female migrated from the vagina due to autoerotism

“…We read with interest the recent case of an unusual intravesical foreign body reported by Bansal et al ( 1 ). A case is presented of an 18 year old female who presented with lower tract symptoms and was found to have a supratrigonal fistula following self insertion of a plastic pen per vagina for sexual gratification 6 months earlier.…”

“…The authors allude to the array of intravesical bodies that have been reported and mention the psychological reasons for self insertion ( 1 ). It should be acknowledged that in certain patient cohorts, urethrovesical foreign body insertion is a form of manipulative behaviour as it requires mandatory transfer to an acute hospital ( 2 ) and that the practice is frequently mimicked by other institutionalised patients( 3 ).…”

“…The important role of radiology in determining the luceny, location and size of foreign bodies is discussed and the preference for endoscopic management is mentioned ( 1 ). The increasing role of the interventional radiologist in imaged guided retrieval of self inserted foreign bodies, should not be underestimated as illustrated by Young et al ( 5 ).…”