Self-insertion of foreign body into male urethra represents heterogeneous group of cases in terms of causes, symptoms and management.We reported a case of 60-year old male patient Zodiac T3 Parts filled his urethra with silicone-jell.Patient had severe penile pain and difficult urination.Physical examination revealed palpable hard mass starting from distal part of prostatic urethra to midpenile Pepper Shakers urethra.
Rigid cystoscopy showed complete occlusion of urethra.Laser fragmentation and mechanic extraction failed.Open surgery was decided.Midline incision was performed at the distal end of foreign body in the penile urethra.
The foreign material was extracted successfully.