Introduction. Self-insertion of foreign bodies into the urethra represents a rare urological emergency involving a wide variety of objects. In many cases, diagnosis and treatment are delayed due to the patient’s embarrassment, shame, or reluctance to disclose the incident.
Clinical case. We report a unique clinical case requiring surgical intervention in a fourteen-year-old child diagnosed with intravesical foreign bodies. The patient was treated in the Department of Urology at the Regional Children’s Clinical Hospital of Rostov-on-Don.
Results. During a cystoscopy, a foreign body consisting of multiple metal balls was detected in the bladder lumen. Given the technical difficulties associated with the small size of pediatric endoscopic instruments and the multiple magnetic foreign bodies, their shape, interconnectedness, and significant magnetic force, the decision was made to forego endoscopic removal and perform a cystostomy.
Conclusions. Modern evidence indicates that foreign bodies of the urinary bladder and urethra in children represent a rare yet clinically and socially significant condition that requires not only timely urological intervention but also mandatory psychiatric and psychological assessment. Only a comprehensive multidisciplinary approach can effectively reduce the risk of complications, recurrence, and adverse psychosocial outcomes.
