DOI: 10.21276/sasjs.2019.5.7.7

Pages: 298-300

Background: Foreign bodies in the lower urinary tract are relatively uncommon. A thorough history and physical examination besides imaging are crucial for early proper management and to avoid possible complications. Most of these cases can be managed safely by endoscopy. Here we report a case who inserted an unusual foreign body (the wire of a fishing hook) in the urethra and bladder after chewing a large amount of qat. Case presentation: A 28 yearold male presented to our emergency room after self-insertion of a fishing hook wire which was stuck and could not be retrieved. After imaging that showed the kinked wire in the urethra and urinary bladder, patient was shifted to operating room where urethroscopy was done using 9 Fr. ureteroscope after failure to pass the usual scope to the bladder. The wire was seen clearly in the urethra with a knot at the bulbus urethra, the scope was then advanced to the bladder where another knot was found. So, percutaneous suprapubic cystoscopy was done using 15 Fr. meninephroscope where the bladder part of the wire was retrieved through the suprapubic puncture while the urethral part was retrieved through a perineal urethrotomy incision and a silicon catheter was left draining for 10 days. Patient was then scheduled for 6-month follow-up.