Eye Liner in the Urinary Bladder: A Case of Autoerotism.

Abstract

Introduction: Foreign bodies in the lower urinary tract are uncommon, but several cases have been reported, Self-insertion for sexual gratification is a major contributor to its incidence. We hereby report a case of self-inserted unusual foreign body in the lower urinary tract. Case Report: A 48 years old woman present to our hospital for retrieval of foreign body in her bladder. There was associated pain on micturition, intermittent haematuria and reduced urinary stream. Examination reveals an anxious woman, with supra pubic tenderness. Plain X-ray shows abnormal radio- opaque rod-like density about 10cm in length in the pelvic cavity and pelvic ultrasound scan showed an abnormal hyper dense rod-like object in the urinary bladder. Cystoscopy showed eyeliner with a sharp end, long and highly mobile in the irrigation fluid and couldn't be remove transurethral. She then had an open cystostomy for the removal of the foreign body. Conclusion: Foreign bodies in the urinary bladder represent a urological challenge that requires prompt management. The suspected history and presenting symptom sarecrucial and lead to further investigations. Endoscopic management is the main treatment. However, the method of retrieving foreign bodies  should  be  selected to avoid bladder wall perforation.