View Article

Volume-13 Number-2 2026 / Case Report

A Case Series on Surgical Challenges and Psychiatric Dimensions of Foreign Bodies in Urology

Author:

Mohammad Shazib Faridi Department of Urology, Dr Baba Saheb Ambedkar Medical College & Hospital, Rohini, Delhi, India. Abdul Qadir Boringwala Department of Urology, Dr Baba Saheb Ambedkar Medical College & Hospital, Rohini, Delhi, India. Kartik Sridhar Department of Urology, Dr Baba Saheb Ambedkar Medical College & Hospital, Rohini, Delhi, India. Devesh Bhatia Department of Urology, Dr Baba Saheb Ambedkar Medical College & Hospital, Rohini, Delhi, India. Neel Swaminarayan Department of Urology, Dr Baba Saheb Ambedkar Medical College & Hospital, Rohini, Delhi, India. Prashant Garg Department of Urology, Dr Baba Saheb Ambedkar Medical College & Hospital, Rohini, Delhi, India.

Abstract:

Background: Genitourinary foreign bodies are one of the less common urological emergencies that are increasingly noted in recent times. Presentations include urethral sounding, penile ring entrapment and complex rectovesical injuries. Embarrassment, often the cause of delayed presentation, increases the risk of complications. This is a series of five cases demonstrating the clinical spectrum and the related surgical and psychiatric concerns.

Methods: Five patients who are presented with genitourinary foreign bodies to our center are presented. Clinical features, radiological findings, management approaches, and outcomes were studied.

Results: The cases included an adolescent who self-inserted insertion a vinyl tube into the bladder, acute penile ring incarceration, penile strangulation associated with paraphimosis, and a rectal foreign body leading to complex entero-vesical and entero-enteric fistula, resulting in mortality. Management varied from open cystostomy to emergency decompression and multi-organ reconstruction.

Conclusion: Genitourinary foreign bodies present with varying levels of severity, from reversible edema to life-threatening complications. Early intervention, tailored surgical plans, and psychiatric assessment are key to reducing complications.

Keywords:

Emergencies, Foreign body, Penile diseases, Urinary bladder, Urinary fistula.

License:

Links:

Download PDF

View in DOI 10.24041/ejmr.2026.42