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All Journal Indonesian Journal of Global Health Research
Muhammad Farras Afif Syamhudi
Universitas Lampung

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Endoscopic Removal of A Transversely Impacted Urethral Needle in Schizophrenia Muhammad Farras Afif Syamhudi; Muhammad Iqbal Tafwid; Encep Ivan Setiawan
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2272

Abstract

Self-inflicted urethral foreign body insertion is a rare urological emergency frequently associated with psychiatric disorders and may present significant management challenges, particularly when sharp metallic objects are involved. We report the case of a 44-year-old man with schizophrenia who presented with meatal bleeding and penile pain after self-inserting a needle into the urethra. Clinical evaluation, pelvic radiography, and urethroscopy revealed a 10-cm needle lodged transversely in the bulbomembranous urethra with bilateral mucosal penetration. The foreign body was successfully removed through a minimally invasive endoscopic approach under direct visualization, without fragmentation or the need for open surgery. The patient experienced an uneventful postoperative recovery and was referred for psychiatric follow-up. This case demonstrates that careful endoscopic planning and controlled extraction can facilitate the safe management of sharp urethral foreign bodies even in anatomically challenging locations, while multidisciplinary psychiatric care remains essential to prevent recurrence.
Co-Authors Encep Ivan Setiawan Muhammad Iqbal Tafwid