title: Perforation of the urinary bladder caused by transurethral insertion of a pencil for the purpose of masturbation in a 29-year-old female.
abstract: The urethra is a usual site of introduction of foreign bodies for autoerotic stimulation. We present an unusual case of bladder perforation caused by foreign body that was self-inserted in the urethra and consequently slipped inside the bladder in a 29-year-old female patient with psychiatric disease. The patient was referred to our department for macroscopic hematuria and abdominal pain. Imaging studies revealed the presence of a foreign body in the pelvic area which had perforated the left lateral wall of the bladder. The foreign body was removed via open cystotomy. In psychiatric patients hematuria and pelvic pain may result from insertion of a foreign body in the bladder usually during masturbation.
authors.affiliation: Department of Urology, University Hospital of Alexandroupolis, Dragana, 68100 Alexandroupolis, Greece.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Bantis
authors.forename: Petros
authors.initials: P
authors.lastname: Sountoulides
authors.forename: Christos
authors.initials: C
authors.lastname: Kalaitzis
authors.forename: Stelios
authors.initials: S
authors.lastname: Giannakopoulos
authors.forename: Eleni
authors.initials: E
authors.lastname: Agelonidou
authors.forename: Soultana
authors.initials: S
authors.lastname: Foutzitzi
authors.forename: Stavros
authors.initials: S
authors.lastname: Touloupidis