A Self-Insertion of 26 High-Strength Neodymium Magnetic Beads in the Bladder: A Case Report

Abstract

Background: The presence of a foreign object inside the urinary bladder is a rare occurrence in urological emergencies. These objects can enter the bladder through various routes, including medical procedures (iatrogenic causes), self-insertion for sexual stimulation, sexual abuse, physical assault, or migration from nearby organs. Gathering a thorough patient history can be particularly difficult when the insertion was done for sexual gratification. Commonly encountered foreign bodies include everyday items like electrical wires and pencils, medical devices such as intrauterine contraceptive devices (IUDs) and catheter components, or, as seen in this case, high-strength neodymium magnetic beads.

Case Presentation: We describe a rare occurrence where a 24-year-old man inserted 26 high-strength neodymium magnetic beads into his urethra for sexual gratification. The clinical presentation with management outline is discussed. The patient underwent two cystoscopic procedures for complete removal of the intravesical foreign body. During the initial intervention, seven neodymium magnetic beads were successfully extracted. A second cystoscopy was performed the following day, resulting in the complete retrieval of the remaining 19 beads. While treatment’s main objective is the removal of the foreign object, it is essential to take into account both immediate and long-term complications that may arise.

Conclusion: Bladder foreign bodies are rare, requiring individualized management. This case highlights the challenges of managing magnetic bead insertion, emphasizing the importance of prompt diagnosis and staged endoscopic removal.