title: Multiple impacted urethral metallic needles and screws (foreign bodies) associated with polyembolokoilamania.
abstract: This study aims to present the challenges faced in the management of multiple impacted foreign bodies, needles, and screws from the penile and bulbar urethra. A young man presented with complaint of a hard perineal swelling and passage of metallic nails per urethra. Pelvic radiograph revealed multiple foreign bodies (nails) in the penile and bulbar urethra. Successful cystoscopic removal of 11 foreign bodies comprising four large metallic screws and seven nail-like large sewing needles was done in two sessions. The most prevalent motivation for self-insertion of urethral foreign bodies is autoerotism/psychological impairment. Appropriate surgical technique guided by physical examination/ imaging with endoscopic removal is often successful, depending on the object's physical attributes and morphology while minimizing urothelial trauma and preserving voiding and erectile function. Follow-up cystourethroscopy is important for diagnosing any complications and urothelial injuries.
authors.affiliation: Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095 New Delhi, India ; F-14, G/F, NDSE Part-II, 110049 New Delhi, India.
authors.forename: Iqbal
authors.initials: I
authors.lastname: Singh
authors.affiliation: Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095 New Delhi, India.
authors.forename: Ajay Kumar
authors.initials: AK
authors.lastname: Pal
authors.affiliation: Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095 New Delhi, India.
authors.forename: Lokesh
authors.initials: L
authors.lastname: Gautam
keywords: Autoerotism; Polyembolokoilamania; Urethral foreign body; Urethral injury