An unusual foreign body in the urethra.

A 24 years-old man was referred to our hospital due to the insertion of 3 pieces of 12×6mm discshaped acrylic beads together with J shaped bougie into the urethra. Bougie was used to push beads into the urethra (Figure 1, 2). In order to maintain the urinary flow, urethral catheter was inserted at previous hospital (Figure 3). Bougie was removed easily together with urethral catheter but beads were stuck in the urethra. CT image showed that one acrylic bead was located in pendulous urethra and two in bulbarurethra (Figure 4). Since we fail to remove the foreign bodies at outpatient using a basket catheter, we underwent urethral foreign body removal surgery under general anesthesia (Figure 5). Although we tried to remove them by Trans Urethral Resection (TUR) loop and foreignbody forceps but their surface was smooth, so it was difficult to grasp them. Next, we tried to fragment the beads by holmium laser, but the laser passed the beads. So beads could not be fractured. Case Report