DOI: 10.36347/sjmcr.2022.v10i07.007

Pages: 629-633

The self-insertion of sewing needles into the urethra is an unusual emergency faced by a urologist. The most common cause for self-insertion of urethral foreign bodies is unknown however autoerotism/psychological impairment has been implicated. Because of guilt and embarrassment, patients usually do not take medical advice unless he is symptomatic. A 24-year male inserted a sewing needle through the urethra for autoerotic stimulation which has impacted at proximal bulbar urethra and piercing the post wall of the urethra towards the rectum. The needle was successfully removed by cystoscope assistance with difficulty after grasping with forceps. Follow-up after cystourethroscopy is important for diagnosing urethral stricture. The main objective of this case reports that foreign bodies inserted especially in the urethra can migrate. Milking of a needle is contraindicated as it may pierce the urethra and migrate to adjacent structures. Removal of these needles under cystoscopy guidance is mandatory.