{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:57:00Z","timestamp":1791982620867,"version":"4.4.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches. A retrospective cohort study was undertaken to identify the patients who presented with self-inserted genitourethral foreign body to adult tertiary centers within our local health network (Southern Adelaide Local Health Network, Adelaide, Australia) from October 2002 to October 2022. Patient demographics, type of foreign body, psychiatric comorbidities, retrieval techniques, complications, and readmission data were extracted. Twenty-seven cases were identified with a median age of 44 years. Twenty-three (85.2%) were male and 4 (14.8%) were female. Ten patients (37.0%) had a concurrent psychiatric illness. The most commonly inserted foreign bodies were plastic tubes\/wires (29.6%). Twenty cases (74.1%) were retrieved endoscopically. Three patients (11.1%) required open cystotomy and one underwent a transperineal urethrotomy. Four patients (14.8%) represented after discharge. Two patients had repeat presentations for genitourinary foreign body insertion. A significant monotonic positive trend of foreign body presentations was identified (Mann\u2013Kendall tau = 0.95,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.043). Presentations of genitourethral foreign body insertions have trended upward over the past two decades. However, most cases were successfully managed endoscopically.\n                  <\/jats:p>","DOI":"10.4103\/aja202497","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T05:00:10Z","timestamp":1731992410000},"page":"185-188","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Genitourethral foreign bodies: 20-year experience and outcomes from a single center"],"prefix":"10.4103","volume":"27","author":[{"given":"Claris","family":"Oh","sequence":"first","affiliation":[{"name":"Urology Unit, Flinders Medical Centre, Bedford Park 5042, Australia"},{"name":"College of Medicine and Public Health, Flinders University, Bedford Park 5042, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darcy","family":"Noll","sequence":"additional","affiliation":[{"name":"University of Adelaide, Adelaide 5000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athul","family":"John","sequence":"additional","affiliation":[{"name":"Urology Unit, Flinders Medical Centre, Bedford Park 5042, Australia"},{"name":"University of Adelaide, Adelaide 5000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Hong","sequence":"additional","affiliation":[{"name":"Urology Unit, Flinders Medical Centre, Bedford Park 5042, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"R1-20250303","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/UPJ.0000000000000044","article-title":"Genitourinary foreign body in United States:incidence, patient characteristics, treatments and economic burden","volume":"6","author":"Nelson","year":"2019","journal-title":"Urol 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intentionally self-inflicted, accidental and iatrogetic foreign objects in the genitourinary tract","volume":"84","author":"Rieder","year":"2010","journal-title":"Urol Int"},{"key":"R6-20250303","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1038\/s41443-019-0194-z","article-title":"Epidemiology of genitourinary foreign bodies in the United States emergency room setting and its association with mental health disorders","volume":"32","author":"Rodr\u00edguez","year":"2020","journal-title":"Int J Impot Res"},{"key":"R7-20250303","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.urology.2016.05.045","article-title":"Urethral foreign bodies:clinical presentation and management","volume":"97","author":"Palmer","year":"2016","journal-title":"Urology"},{"key":"R8-20250303","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.3390\/children9101468","article-title":"Clinical features and management of urethral foreign bodies in children:a 10-year retrospective study","volume":"9","author":"Kong","year":"2022","journal-title":"Children"},{"key":"R9-20250303","doi-asserted-by":"crossref","first-page":"431","DOI":"10.15557\/PiMR.2018.0059","article-title":"Self-introduction of urethral foreign bodies in adolescent boys:a rising problem","volume":"14","author":"Warcho\u0142","year":"2018","journal-title":"Pediatr Med Rodz"},{"key":"R10-20250303","doi-asserted-by":"crossref","first-page":"186","DOI":"10.5213\/inj.2010.14.3.186","article-title":"Unusual foreign bodies in the urinary bladder and urethra due to autoerotism","volume":"14","author":"Moon","year":"2010","journal-title":"Int Neurourol J"},{"key":"R11-20250303","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/S0022-5347(05)67342-9","article-title":"Clinical management of foreign bodies of the genitourinary tract","volume":"164","author":"van Ophoven","year":"2000","journal-title":"J Urol"},{"key":"R12-20250303","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S1015-9584(08)60073-1","article-title":"Foreign bodies in the female urinary bladder:20-year experience in Ramathibodi Hospital","volume":"31","author":"Kochakarn","year":"2008","journal-title":"Asian J Surg"},{"key":"R13-20250303","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/0090-4295(88)90313-5","article-title":"Adolescent males who insert genitourinary foreign bodies:is psychiatric referral required?","volume":"32","author":"Kenney","year":"1988","journal-title":"Urology"},{"key":"R15-20250303","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1111\/j.1464-410X.2011.10810.x","article-title":"Recreational urethral sounding is associated with high risk sexual behaviour and sexually transmitted infections","volume":"110","author":"Breyer","year":"2012","journal-title":"BJU Int"}],"container-title":["Asian Journal of 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