Shocking scans released by his doctors show how the more than two meter thin rope – which had no handles – was coiled tightly inside the unidentified man’s bladder. This made it impossible for doctors to get it out the way it went in, so they had to cut open his bladder to surgically extract it. The man did not tell doctors why he inserted the rope, but inserting objects into the opening of the penis is a dangerous sex act known as sounding. Doctors used information from detailed scans to create a 3D computer model of the tangled cord to determine the best method of removal. A British expert said it was one of the most “extreme” cases of penile penetration he had heard of in his two-decade career. This X-ray revealed the object of the 79-year-old man’s urinary discomfort to be a tightly coiled and now tangled piece of string that he had inserted into his penis The imposing 230cm long rope after doctors surgically removed the object from his bladder Detailing the indecency in a medical case report, the Japanese said they had demonstrated the value of using 3D computer models (right) created from scans to determine the best way to remove foreign bodies in the bladder
What does it sound like? And why can it be dangerous?
It is heard when men insert objects into the opening of the penis to enhance their sexual pleasure.
It usually involves specially designed tools made of glass or metal.
Doctors at the International Andrology London Clinic said there has been a “dramatic increase” in the number of men experiencing urethral problems due to sound as men “try to expand their sexual activities and enhance their sexual experiences”.
Men interested in the practice should understand the risks and buy equipment from reputable companies and ensure they do so hygienically.
But they warned that the practice could damage the delicate tissue in the urethra, which releases urine and semen.
It can also lead to lack of bladder control and infection.
And the penis and urethra may even require surgery or implants to rebuild the delicate tissue.
Source: International Andrology London
Experts from Dokkyo Medical University in the city of Mibu, 100 kilometers north of Tokyo, detailed the incident in a medical report.
The elderly man initially attended the university medical center complaining of dysuria, pain or burning during urination.
When doctors examined his bladder using an ultrasound scan, they found “a large object accompanied by acoustic shadows” was inside the bladder. An X-ray then revealed that this object was “a wire-wrapped foreign body.”
The man was then forced to admit to doctors that he had inserted a string into the urethra of the penis. Doctors did not say whether the man explained why he had undertaken the strange act.
The lead author of the case report, published in the journal Urology Case Reports, urologist Professor Toshiki Kijima, said doctors then performed a CT scan to determine the best way to remove the rope.
He said they then used a computer program to create a 3D reconstruction of the rope that showed it had become too tangled to pull it back from the penis.
The rope became tangled as the bladder contracted, a natural process that occurs after it expels stored urine.
“Transurethral extraction was difficult considering the length of the cord and its involvement in the bladder,” said Professor Kijima.
“Traditionally, forceps and retrieval baskets are used to remove foreign bodies.
“However, wires inserted into the bladder usually coil as the bladder contracts. Therefore, special care is required for wire-like foreign bodies.”
This forced doctors to surgically remove the rope directly through a small incision in the man’s abdomen and then pull it out of the bladder in its entirety.
By removing it this way, they said, they avoided possible damage to his urethra or bladder by pulling the tangled string forcefully out of his penis.
The man went on to enjoy a full recovery with no ongoing complications from the admission or the surgery itself.
In their report, doctors said the case demonstrated the “invaluable” utility of using 3D reconstructions to determine how best to remove objects that had been inserted into the bladder.
“Any manipulation of the foreign body should be avoided until the exact materials, size, shape and location are determined as it may cause further injury to the urethra,” he said.
Professor Giulio Garaffa, a uro-andrologist at the private men’s health clinic International Andrology in London, told MailOnline that this case was one of the most “extreme” cases of urethral insertion he had heard of.
“In my 20 years of experience in this field, I have come across a number of A&E patients who do this practice and use all sorts of objects that are thin enough to pass through the urethra. However, an object 230 centimeters long has to be one of the most extreme cases,” he said.
He added that the man was lucky to avoid some of the potential complications from such an insertion.
“He was undoubtedly very lucky to have escaped some more serious complications, such as an infection,” he said.
“When you put anything into your body that is not sterile, you can cause tissue infection and these infections can sometimes be very serious and can lead to tissue necrosis or even sepsis, for example.”
Inserting objects into the opening of the penis for sexual pleasure is known as sounding, which carries multiple risks.
More serious complications, such as a hole in the bladder and scarring of the tube that carries urine out of the body, may require major reconstructive surgery.
Experts from the UK have previously reported an increase in the number of men experiencing voice problems in recent years.
They accused men of trying to “expand their sexual activities and enhance their sexual experiences.”
Other known reasons for inserting objects into the urethra can include mental health issues as well as grossly inappropriate DIY attempts to treat problems with urination or maintaining an erection.
Patients who have an object stuck inside their penis are usually reluctant to contact a doctor due to feelings of guilt or embarrassment, which can lead to further medical problems.
