The insertion of foreign objects into the male urethra is an interesting and anecdotal event

for most urologists. There is a wide variety of objects reported in the literature, and their unimaginable character makes the diagnosis and treatment as a challenge for any physician.5 However, a neglected or lost catheter in bladder and urethra is very rare because it might result from physician’s mistake. An amputated and completely intracorporeal catheter is not shown at gross appearance find more so that there is a high possibility to neglect and misdiagnose. Long-term neglected catheter may result in many complications and may require surgical procedures; therefore, physicians who involve managing urinary catheters should not ignore the possible existence of remnant segment after accidental

removal of the urethral catheter. We encountered a very rare case of an amputated and forgotten urethral Foley catheter in urinary bladder and urethra, which resulted in urethracutaneous fistula, with its proximal tip penetrating the urethral mucosa. We successfully removed that catheter with a flexible cystoscope. Physicians who handle the urethral catheter should be aware of complications associated with neglected urethral catheters. “
“The use of foreign bodies to enhance sexual experience is a practice that has been around for centuries. In fact, this practice is described in the Kama Sutra, and since that time numerous reports have been presented in the literature, indicating the increasing INCB018424 ic50 popularity of this

practice.1 Stankov et al and Fischer et al have recently published reviews on implantation of artificial penile bodies. Both articles cite a predominance of the practice in Asia, with a relative paucity in Western culture. Neither review reports the practice in the United States. Fischer reports that in addition to penile enhancement for sexual pleasure of partner (63.9%), implantation of beads often ascribes an affiliation to a specific group (18.1%).2 A search on the Internet reveals that penile foreign body insertion is gaining popularity among laypersons, as attempts at self-insertion of these prosthetics have increased. We report a case of an incarcerated Caucasian American found male patient with a subcutaneously self-inserted penile foreign body. A 29-year-old circumcised Caucasian male patient who was incarcerated at a midwestern prison presented to the urology clinic with the complaint of a wound on his penile shaft. He reported having placed a foreign body on the ventral aspect of his penis approximately 5 years before as a sexual pleasure device. He claimed that it was a domino, which he had shaved down and inserted under his penile skin. He noted erosion through the skin over the past several months, which was not painful. He desired removal of the object. A picture of the eroded prosthesis is seen in Figure 1.