Urethral stricture secondary to self-instrumentation due to XXXX : a case report.

@entity1 @entity146 @entity1109 @entity277 @entity3833 @entity158 @entity8143 @entity1090
INTRODUCTION: @entity8143 is a rare @entity146 which often presents with dermatological problems. @entity8143 , which involves urethral self-instrumentation and foreign body insertion, is exceptionally rare. This is the first case report to date that provides a detailed presentation of the urological manifestation of @entity8143 with complications associated with repeated self-instrumentation and foreign body insertion, resulting in stricture formation and requiring perineal urethrostomy. CASE PRESENTATION: A 45-year-old Irish @entity1 was electively admitted for perineal urethrostomy with chronic symptoms of @entity3833 , haematuria, urethral discharge, and intermittent urinary retention. He reported a 4-year history of intermittent @entity158 , @entity1109 , and burrowing sensations, and held the belief that his urethra was infested with ticks. He also reported a 2-year history of daily self-instrumentation, mainly injecting an antiseptic using a syringe in an attempt to eliminate the ticks. He was found to have urethral strictures secondary to repeated self-instrumentation. A foreign body was found in his urethra and was removed via cystoscopy. On @entity146 assessment, he displayed a fixed delusion of @entity277 and threatened to surgically remove the tick himself if no intervention was performed. The surgery was postponed due his mental state and he was started on @entity1090 ; he was later transferred to an acute in- @entity1 @entity146 unit. Following a 3-week admission, he reported improvement in his thoughts and distress. CONCLUSIONS: @entity8143 is a rare @entity146 . Self-inflicted urethral foreign bodies in males are rare and have high comorbidity with @entity146 ; hence, these @entity1 have a low threshold for referral for @entity146 assessment. The mainstay treatment for @entity8143 is second-generation antipsychotic drugs.
