A man was left in excruciating pain after shoving a sim card extractor tool, electrical cable and a rubber band into his penis.
The 48-year-old, from Indonesia, sought help after he found it increasingly difficult to urinate.
He told doctors that he’d never inserted any “foreign objects” before.
Blood and urine tests suggested the unidentified man had kidney failure and a UTI.
An X-ray of his pelvis then showed an opaque object and a “shadow” resembling a wire lodged inside him.
Doctors say the presence of the metal object saw him develop a bladder stone — which can cause the painful symptoms he suffered.
Surgeons who removed the stone, which measured 5 x 3cm, said the sim card tool was as its “core”.
Follow-up inspections revealed he had a 10cm electrical cable and 8cm needle tied with a rubber band inside him, too.
Both objects were also removed.
The man, described as sexually active, had no documented psychiatric disorders when he originally sought medical help.
“Furthermore, he denied any history of self-insertion of foreign objects,” doctors at the Dr Soetomo General-Academic Hospital, Surabaya in East Java wrote in medical journal Radiology Case Reports.
Psychiatrists later diagnosed the man with an adjustment disorder — an emotional reaction to a stressful event or life change. They did not explain what was to blame for his reaction.
They prescribed him antipsychotics, drugs which reduce and control the symptoms of mental health conditions including schizophrenia and bipolar disorder.
CT scans later confirmed his ureter was enlarged and he had hydronephrosis, when one or both kidneys become stretched and swollen because urine fails to drain properly.
He suffered no lasting damage and could reportedly urinate normally again just a week after the procedure.
He returned for a follow-up appointment six weeks later, where he claimed not to have any complications and kidney function appeared normal.
Doctors at clinic International Andrology London said there has been a “dramatic increase” in the number of men having urethral problems due to sounding as men “look to expand their sexual activities and enhance their sexual experiences”.
Sounding is when men insert items into the opening of the penis to enhance their sexual pleasure. It usually involves specially designed tools made from glass or metal.
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