Urethral foreign body insertion for secondary gain in the incarcerated population.
Not uncommonly, hostile prison environments can lead desperate prisoners to place foreign materials into natural orifices in an effort to gain transfer to an outside healthcare facility.  In this article, we present a case series of urethral foreign body insertion of varying burdens and durations requiring transfer to our facility for surgical management.  Endoscopic retrieval was the initial management in each case; one case required conversion to open cystotomy for complete removal due the orientation, amount of inserted foreign body, and erosion into the proximal urethral and bladder urothelium.
Division of Urology, Saint Louis University, Missouri, USA.
Michael
M
Mastromichalis
Daniel
D
Sackman
James F
JF
Tycast
Micheal J
MJ
Chehval
D003297:Cooking and Eating Utensils; D015653:Cystectomy; D004724:Endoscopy; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000523:psychology / Q000601:surgery*; D006040:Goals; D006297:Health Services Accessibility; D006801:Humans; D007281:Ink; D008297:Male; D011329:Prisoners; D011859:Radiography; D016896:Treatment Outcome; D014521:Urethra / Q000000981:diagnostic imaging* / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery