{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:38:07Z","timestamp":1791221887144,"version":"4.1.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Urethral sounding is the insertion of an object or liquid into the urethra for sexual gratification. It is associated with a substantial risk of loss of the foreign body in the bladder, urethral strictures or infection. Bladder perforation is a rare complication of urethral sounding which is usually associated with a sharp object. Here, we present the case of a young adult female presenting with abdominal pain after practicing urethral sounding with a blunt marking pen. She was found to have an intraperitoneal bladder perforation, requiring exploratory laparotomy and bladder repair.<\/jats:p>","DOI":"10.1093\/jscr\/rjad032","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T20:41:53Z","timestamp":1675888913000},"source":"Crossref","is-referenced-by-count":5,"title":["Bladder perforation as a rare complication of urethra sounding with a blunt marking pen"],"prefix":"10.1093","volume":"2023","author":[{"given":"Mariya","family":"Reztsova","sequence":"first","affiliation":[{"name":"College of Medicine, Drexel University , Philadelphia, PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin S","family":"Chien","sequence":"additional","affiliation":[{"name":"Department of Surgery, Allegheny Health Network , Pittsburgh, PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall T","family":"Post","sequence":"additional","affiliation":[{"name":"Department of Surgery, Allegheny Health Network , Pittsburgh, PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Canales","sequence":"additional","affiliation":[{"name":"Department of Surgery, Allegheny Health Network , Pittsburgh, PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8809-443X","authenticated-orcid":false,"given":"Shinichiro","family":"Yokota","sequence":"additional","affiliation":[{"name":"Department of Surgery, Allegheny Health Network , Pittsburgh, PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"2023020820414461400_ref1","first-page":"e9750","article-title":"Chronic infectious complications of recreational urethral sounding with retained foreign 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\"play\"","volume":"76","author":"Rinard","year":"2010","journal-title":"Urology"},{"key":"2023020820414461400_ref11","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1258\/shorts.2010.010014","article-title":"'Putting lead in your pencil': self-insertion of an unusual urethral foreign body for sexual gratification","volume":"1","author":"Bedi","year":"2010","journal-title":"JRSM Short Rep"},{"key":"2023020820414461400_ref12","doi-asserted-by":"crossref","first-page":"102221","DOI":"10.1016\/j.eucr.2022.102221","article-title":"A rare case report of self-insertion of a foreign body inside the urethra with peritoneal perforation","volume":"45","author":"Fattahi","year":"2022","journal-title":"Urol Case Rep"},{"key":"2023020820414461400_ref13","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1590\/S1677-55382006000200011","article-title":"Retroperitoneal migration of a self-inflicted ballpoint pen via the urethra","volume":"32","author":"Cury","year":"2006","journal-title":"Int Braz J Urol"}],"container-title":["Journal of Surgical Case 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