title: Intravesical Foreign Body via a Vesicoperineal Fistula.
abstract: Male urethral "play" has been described for centuries. There are serious potential complications in this. We present a bizarre case of a variant of such play. A 49-year-old man presented with abdominal pain and incontinence. He had created a "neovagina" at the perineum for self-pleasure. The handle of a toilet brush was placed in the neovagina for self-pleasure but retracted into the bladder via a vesicoperineal fistula. An open cystotomy was performed to remove the foreign body.
authors: Department of Urology, University of Wisconsin-Madison, 1685 Highland Avenue, Madison, WI 53705, USA.
authors: Aaron M
authors: AM
authors: Potretzke
authors: Kelvin S
authors: KS
authors: Wong
authors: Tracy M
authors: TM
authors: Downs
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