title: Suicidal transurethral perforation of bladder.
abstract: This case report describes a highly unusual way of committing suicide: the insertion of a cylindrical foreign body through the penile urethra, resulting in perforation of the urinary bladder and abdominal hemorrhage. The manner of death was determined by a psychological autopsy that successfully ruled out an autoerotic (accidental) death. The case is presented in order to alert medical examiners and psychiatrists that such a unique and painful method of taking one's life exists.
mesh_terms: D000328:Adult; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D008297:Male; D013405:Suicide / Q000523:psychology*; D014521:Urethra / Q000293:injuries; D001743:Urinary Bladder / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications / Q000209:etiology*