{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:37:51Z","timestamp":1791221871022,"version":"4.1.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,5]]},"abstract":"<jats:p>Misdiagnosis of a urethral foreign body (FB) as urethral stricture leads to inadequate management and prolonged treatment duration. A 55-year-old male patient was referred with complaints of difficulty in voiding and poor urinary stream for 2 months. He initially presented at a primary healthcare centre and was misdiagnosed as urethral stricture and was scheduled for urethroplasty. Surprisingly, intraoperative cystourethroscopy performed by us revealed that the urethra had been obstructed by an FB. The FB was gently pushed into the bladder and retrieved. The postoperative course was uneventful. The present case represents a rare occurrence of polyembolokoilamania or insertion of a FB into any bodily orifice for sexual gratification.<\/jats:p>","DOI":"10.1136\/bcr-2018-224494","type":"journal-article","created":{"date-parts":[[2018,5,26]],"date-time":"2018-05-26T08:29:35Z","timestamp":1527323375000},"page":"bcr-2018-224494","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Foreign body urethra misdiagnosed as stricture leading to inadequate management and prolonged treatment duration: a lesson to learn"],"prefix":"10.1136","volume":"2018","author":[{"given":"Deepanshu","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3314-1347","authenticated-orcid":false,"given":"Siddharth","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satyanarayan","family":"Sankhwar","sequence":"additional","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,5,26]]},"reference":[{"key":"2025082700205994000_2018.may25_1.bcr-2018-224494.1","first-page":"83","article-title":"A self-inflicted male urethral\/vesical foreign body (olive seed) causing complete urinary retention","volume":"16","author":"Bayraktar","year":"2018","journal-title":"Urol Case Rep"},{"key":"2025082700205994000_2018.may25_1.bcr-2018-224494.2","first-page":"69","article-title":"Screw as a bladder foreign body","volume":"11","author":"Hosseini","year":"2017","journal-title":"Urol Case Rep"},{"key":"2025082700205994000_2018.may25_1.bcr-2018-224494.3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijscr.2017.02.003","article-title":"Foreign body in the bladder: A case report","volume":"32","author":"Shimokihara","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2025082700205994000_2018.may25_1.bcr-2018-224494.4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.5489\/cuaj.3778","article-title":"An unusual case of polyembolokoilamania: urethral avulsion from foreign object use during sexual gratification","volume":"10","author":"Chan","year":"2016","journal-title":"Can Urol Assoc J"},{"key":"2025082700205994000_2018.may25_1.bcr-2018-224494.5","doi-asserted-by":"crossref","first-page":"357","DOI":"10.5489\/cuaj.4003","article-title":"An unusual case of polyembolokoilamania: Urethral avulsion from foreign object use during sexual gratification","volume":"10","author":"Floyd","year":"2016","journal-title":"Can Urol Assoc J"},{"key":"2025082700205994000_2018.may25_1.bcr-2018-224494.6","doi-asserted-by":"crossref","unstructured":"Unruh BT , Nejad SH , Stern TW , et al . Insertion of foreign bodies (polyembolokoilamania): underpinnings and management strategies. 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