A 55-year-old male patient presented acutely to the urology service having inserted a 7 cm sewing needle into his perineum. He had no prior history of psychiatric illness. He stated that he had performed this practice on a regular basis over several years for self-gratification, without any partner involvement. Maximum pleasure was obtained by insertion of a needle into his perineal body but he had previously always managed to extract the needle by leaving a portion of it exposed. On this occasion, he had inserted it completely 12 hours prior to presenting and was subsequently unable to remove it. He denied any voiding difficulties or bowel symptoms.
展开▼
