T19.4

Clinical Causes: Accidental insertion of objects during childhood or adolescence Intentional insertion during acts of self-injury or sexual activity Harmless child play or curiosity leading to insertion of small items Attempted removal of other foreign objects, such as medical devices or non-medical items Ingested or inserted items that migrate into penile tissue due to trauma or injury

Key Symptoms: Pain or discomfort in the penis Swelling or tenderness in the affected area Visible or palpable foreign object in or protruding from the penis Bleeding from the urethra or penile opening Difficulty or pain during urination Infection signs, such as redness, warmth, or pus Fever in cases of secondary infection

Diagnosis Path: Diagnosis involves a physical examination where healthcare providers may palpate the area to detect the foreign object. Imaging tests, such as X-rays, ultrasound, or MRI scans, are often used to locate and identify the object’s size, shape, and position. Urinalysis may also be performed if urinary symptoms are present to detect infection or other complications.

Treatment Protocols: Manual extraction if the object is accessible and easily reachable Minimally invasive procedures using local anesthesia and specialized instruments Surgical intervention in cases where the object is deeply embedded or caused tissue damage Antibiotic therapy to treat or prevent infection after removal Pain management with appropriate medications