Urethral Insertion of Foreign Bodies

Self-inflicted foreign bodies in lower genitourinary tract in males: Our experience and review of literature

“…The various method described are the insertion of foreign bodies, use of weapons and restrains[ 17 ] Intoxication and subsequent intoxicated sex play can lead to the foreign body insertion[ 19 ] Mitchell developed the psychiatric theme that intraurethral insertions expressed feminine identification and denial of the maleness. The patient does not want to insert the penis but prefers some object to be inserted in the penis (feminine identification)[ 15 ] Rada and James reported various psychiatric disorders such as antisocial personality disorder, sense of depersonization, and global dysfunctional state in adolescent inmates of a maximum security hospital[ 20 ] Older patients with dementia are known to have increased sexual activity (hypersexuality with or without inappropriate sexual expression). Hausserman cites a case report of a patient with dementia of Alzheimer's type who repeatedly inserted foreign bodies in the penis[ 21 ] Intellectually challenged: The desire to indulge in sexual activities is present in the intellectually challenged patients.…”

“…Rada and James reported various psychiatric disorders such as antisocial personality disorder, sense of depersonization, and global dysfunctional state in adolescent inmates of a maximum security hospital[ 20 ]…”

Isiris: A Novel Method of Removing Foreign Bodies from the Lower Urinary Tract to Avoid Unnecessary Hospitalization and Anesthesia

“…The phenomenon of urethral polyembolokoilamania by prisoners in a maximum-security hospital to control prison and hospital staff has been reported before and is difficult to manage. 4 By avoiding admission and dealing with the problem within the ED, there is the potential, along with the help of psychiatry/psychology, to begin to break these patterns of behavior and relieve some of the economic burden posed by malingering patients.…”

Attempted auto-enucleation in two incarcerated young men with psychosis

“…The behavior also tends to be contagious among the incarcerated mentally ill. Apparently, the behavior of self-mutilation was learned among these individuals by watching the behaviors of those who had previously performed the act 5 …”