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Table 1 Summary of urethral foreign bodies cases according to the available literature (items used, reasons for insertion, presenting symptoms, removal techniques and post-removal complications)

From: PENs in the PENis: a case report and brief review of the literature

Items used Reasons for insertion Presenting symptoms Removal techniques Post-removal complications
Forks [1, 4, 5] Self-stimulation [1, 4, 5] Dysuria [1, 4, 5] Manual extraction with extrinsic pressure [1, 4, 5] Urinary tract infection sepsis [1, 4, 5]
Spoons [1, 4, 5] Erectile enhancement [1, 4, 5] Gross haematuria [1, 4, 5] Endoscopic retrieval [1, 4, 5] Urethral false passage [1, 4, 5]
Metal screws [1, 4, 5] Attention seeking [1, 4, 5] Urinary retention Meatotomy [1, 4, 5] Lacerations [1, 4, 5]
Pieces of cardboard [1, 4, 5] Result of erotic impulses [1, 4, 5] Urinary tract infections [1, 4, 5] Urethrotomy [1, 4, 5] Stricture formation [1, 4, 5]
Staples [1, 4, 5] Psychometric problems [1, 4, 5] Penile discharge [1, 4, 5] Cystotomy [1, 4, 5] Urethral Defect [2]
Writing utensils such as pens and pencils [1, 4, 5] Sexual curiosity, or sexual practice while intoxicated [1, 4, 5] Frequent urination Voiding to expel the foreign body [1, 4, 5] Fournier's gangrene
Coaxial cable [1, 4, 5] Relieving urinary symptoms (LUTS/retention) Decreased urine volume   Bladder perforation
Spray foam sealant [1, 4, 5] Senility, intoxication Painful erection   Urethral fistulas [4]
Medical needles act of physical abuse    
Household pipes     
Sewing needles     
Nail Scissors     
Knotted electric wires     
Pocket batteries     
Little fish     
Pen tips     
Small magnetic balls     
Olive seeds     
‘Corn-on-the-cob’ skewers     
Bullets     
Safety pins     
Rubber tube     
Glass ampoules     
Metallic screws     
Brachytherapy seeds     
Cut end of Foley catheters     
Sexual vibrators     
Hem-o-lock clips     
Superglue     
Tongue cleaners     
Transistor radio antennas