Foreign body (kidney beans) in urinary bladder: An unusual case report. (August 2018) - Jain, Ankita
Abstract: Introduction: Foreign body in urinary bladder has always been a topic of interest amongst the urologists and surgeon. Foreign body in lower urinary tract is not an unusual finding. Different types of foreign bodies has been retrieved from the lower urinary tract like for example, electric wire, safety pin, hairclip, intrauterine contraceptive device (IUCD), gauze pieces, battery, leech, hairballs and so on. This article presents an unusual case report of the presence of kidney beans in the bladder, self-inflicted by the patient in the middle of the night for the purpose of sexual gratification or autoerotism. A 25 years old male patient, chef by occupation, presented to the outpatient department with history of insertion of 4 kidney beans 3 days back through his penis during the act of masturbation. The patient had complaints of dysuria, one episode, next morning after the act, which was relieved thereafter. Patient came to us only for the purpose of removal of the kidney beans. Attempt was made to remove the beans by non-invasive method by cystoscopy but as the beans were soaked in urine they got swollen and forceps removal was not possible. Hence, the kidney beans were removed by an invasive method by a suprapubic incision. Conclusion: There has been many cases reported in literature about insertion of foreign bodies in bladder but presence of kidney beans in bladder is first of its kind as far as our knowledge is concerned. Highlights: Intravesical foreign body are commonly a presentation of autoerotism or sexual gratification. Insertion of foreign body via the urethral route has been reported in many cases. Such foreign bodies are most commonly inserted through the ascending route through the urethra. Insertion of foreign body like electric wire, safety pin, hairclip, intrauterine devices, steel fork has been reported many times in literature. Insertion of kidney beans is first of its kind to be reported. The main aim of removal of foreign bodies from the bladder should be clearance rather than type of procedure. To avoid recurrence of such cases, a psychiatric evaluation of such patients should be done, as recurrence of such acts can be life threating leading to sepsis or even gangrene of the external genitalia.