# Silicone Sealant as a Urethrovesical Foreign Body: Lessons in Surgical Management

## TL;DR

A man injected silicone sealant into his urethra, which migrated to his bladder and required surgery for removal.

## Contribution

This case highlights the challenges and surgical management of silicone sealant as a urethrovesical foreign body.

## Key findings

- Endoscopic retrieval of the silicone sealant was unsuccessful due to its size and consistency.
- Open cystotomy successfully removed the foreign body with no complications during recovery.
- Follow-up imaging confirmed no long-term issues after the procedure.

## Abstract

We present a rare case of a male patient who presented following self-injection of silicone sealant into a condom placed within the urethra that migrated intravesically. The patient had mild voiding symptoms and haematuria. Imaging demonstrated radio-opaque foreign material extending from the bulbar urethra into the bladder. Endoscopic retrieval was unsuccessful due to the material’s size and consistency. Definitive management was achieved via open Pfannenstiel cystotomy, with intact removal of the foreign body and uneventful recovery. Follow-up cystography and flow rate studies within two months confirmed no complications. Silicone sealant within the lower urinary tract represents an unusual and complex foreign body. This case adds to the limited literature on gathering evidence on optimal management techniques.