Hu Wenhao, Xu Tao, Yu Weifeng, Zhong Along, Zheng Qianlei
Department of Urological Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo, 315040, Zhejiang, People's Republic of China.
Department of Pulmonary and Critical Care Medicine, The Affiliated People's Hospital of Ningbo University, No.251, Baizhang East Road, Yinzhou District, Ningbo, 315040, Zhejiang, People's Republic of China.
J Med Case Rep. 2025 Aug 16;19(1):408. doi: 10.1186/s13256-025-05493-8.
Urethral foreign body insertion is a rare and challenging clinical condition often associated with significant morbidity. Previous reports have highlighted motivations such as sexual gratification or psychiatric disorders. However, this case report uniquely focuses on a less-discussed motivation: the alleviation of physical discomfort from prior trauma.
A 64 year-old Han male patient presented to the emergency department with urinary retention and dysuria. He had inserted magnetic beads into his urethra to relieve perineal discomfort caused by prior trauma. After being unable to remove the beads using his usual method, he sought medical assistance. A multidisciplinary approach involving urologists, psychologists, and acupuncturists was employed. The beads were successfully removed through endoscopic procedures and a suprapubic bladder incision. The patient also received acupuncture for pain relief and psychological counseling to address underlying motivations and develop healthier coping strategies.
This case emphasizes the importance of a comprehensive and empathetic approach to managing urethral foreign body cases, considering each patient's unique circumstances and motivations. It also underscores the risks of self-treatment on the basis of unverified online information, particularly in vulnerable populations. Further research and education are needed to address the impact of online misinformation on self-treatment behaviors and to develop more effective interventions for at-risk individuals.
尿道异物插入是一种罕见且具有挑战性的临床情况，常伴有严重的发病率。既往报道强调了诸如性满足或精神疾病等动机。然而，本病例报告独特地聚焦于一个较少被讨论的动机：缓解既往创伤所致的身体不适。
一名64岁的汉族男性患者因尿潴留和排尿困难就诊于急诊科。他曾将磁珠插入尿道以缓解既往创伤引起的会阴部不适。在无法用其常用方法取出磁珠后，他寻求医疗帮助。采用了包括泌尿科医生、心理学家和针灸师在内的多学科方法。通过内镜手术和耻骨上膀胱切开术成功取出了磁珠。患者还接受了针灸以缓解疼痛，并接受了心理咨询，以解决潜在动机并制定更健康的应对策略。
本病例强调了以全面且富有同情心的方法处理尿道异物病例的重要性，要考虑到每个患者的独特情况和动机。它还强调了基于未经证实的在线信息进行自我治疗的风险，尤其是在弱势群体中。需要进一步的研究和教育，以解决在线错误信息对自我治疗行为的影响，并为高危个体制定更有效的干预措施。
