caa a22 4500 606246266 CHVBK 20210128101339.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s12262-014-1181-8 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1181-8 Multiple Impacted Urethral Metallic Needles and Screws (Foreign Bodies) Associated with Polyembolokoilamania [Elektronische Daten] [Iqbal Singh, Ajay Pal, Lokesh Gautam] This study aims to present the challenges faced in the management of multiple impacted foreign bodies, needles, and screws from the penile and bulbar urethra. A young man presented with complaint of a hard perineal swelling and passage of metallic nails per urethra. Pelvic radiograph revealed multiple foreign bodies (nails) in the penile and bulbar urethra. Successful cystoscopic removal of 11 foreign bodies comprising four large metallic screws and seven nail-like large sewing needles was done in two sessions. The most prevalent motivation for self-insertion of urethral foreign bodies is autoerotism/psychological impairment. Appropriate surgical technique guided by physical examination/ imaging with endoscopic removal is often successful, depending on the object's physical attributes and morphology while minimizing urothelial trauma and preserving voiding and erectile function. Follow-up cystourethroscopy is important for diagnosing any complications and urothelial injuries. Association of Surgeons of India, 2014 Urethral foreign body nationallicence Urethral injury nationallicence Autoerotism nationallicence Polyembolokoilamania nationallicence Singh Iqbal Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095, New Delhi, India aut Pal Ajay Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095, New Delhi, India aut Gautam Lokesh Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095, New Delhi, India aut Indian Journal of Surgery Springer India 77(2015-04-01), 106-108 0972-2068 77<106 2015 77 12262 https://doi.org/10.1007/s12262-014-1181-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1181-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Singh Iqbal Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095, New Delhi, India aut NATIONALLICENCE 700 1- Pal Ajay Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095, New Delhi, India aut NATIONALLICENCE 700 1- Gautam Lokesh Department of Surgery (Urology Div), University College of Medical Sciences (University of Delhi) & GTBH, Dilshad Garden, 110095, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-04-01), 106-108 0972-2068 77<106 2015 77 12262