RT Journal Article
SR Electronic
T1 Unusual genitourinary tract activity
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2017-220297
DO 10.1136/bcr-2017-220297
VO 2017
A1 Eoin MacCraith
A1 Niall F Davis
A1 James Forde
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2017-220297.abstract
AB 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.