Article Text

Download PDFPDF
Unusual genitourinary tract activity
  1. Eoin MacCraith,
  2. Niall F Davis,
  3. James Forde
  1. Department of Urology, Beaumont Hospital, Dublin, Ireland
  1. Correspondence to Eoin MacCraith, eoinmaccraith{at}


A 23-year-old woman presented to the emergency department after manually inserting foreign bodies into the urinary bladder through her urethra. A plain abdominal film of the kidneys, ureters and bladder confirmed three radio-opaque densities in the urinary bladder. She was taken to the operating room where cystourethroscopy was performed. At cystoscopy 2 ‘corn-on-the-cob’ skewers and 1 battery were identified but were too large to be retrieved safely with a grasper through the protective sheath. The objects were grasped with a ‘sponge-holding forceps’ (placed alongside the cystoscope) and extracted one at a time. A psychiatric consultation was sought and the patient was diagnosed and treated for borderline personality disorder. Unusual genitourinary activity (UGUA) has been described for several centuries and is characterised by the deposition of foreign objects in the genitalia.1 The most common incentive for UGUA is sexual stimulation, but psychiatric disorders and intoxication are also associated.2 Management involves retrieval of foreign bodies and evaluation of psychosocial factors.

  • personality disorders
  • urology
  • hematuria

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors EMC collected the data and drafted the report. NFD obtained the images and supervised drafting of the report. JF supervised drafting the report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.