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Case Reports in Urology
Volume 2013 (2013), Article ID 659582, 3 pages
Case Report

Intravesical Foreign Body via a Vesicoperineal Fistula

Department of Urology, University of Wisconsin-Madison, 1685 Highland Avenue, Madison, WI 53705, USA

Received 19 February 2013; Accepted 19 March 2013

Academic Editors: A. Goel, M. Sheikh, and E. Tuzel

Copyright © 2013 Aaron M. Potretzke et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Male urethral “play” has been described for centuries. There are serious potential complications in this. We present a bizarre case of a variant of such play. A 49-year-old man presented with abdominal pain and incontinence. He had created a “neovagina” at the perineum for self-pleasure. The handle of a toilet brush was placed in the neovagina for self-pleasure but retracted into the bladder via a vesicoperineal fistula. An open cystotomy was performed to remove the foreign body.