Background <p>A large number of self-inflicted foreign bodies have been reported in the male urethra and urinary bladder. Polyembolokoilamania is a Greek derivative describing the behavioral phenomenon of inserting foreign objects into bodily orifices.</p> Case presentation <p>We report a 27-year-old unmarried male who presented the emergency department after inserting a knotted electrical wire with a glass tube at the top of his bladder. The patient admitted he inserted soft objects into his penis for pleasure, curiosity, feelings of emptiness, and the need for sexual excitement. A pelvic x-ray confirmed the presence of a knotted wire stump within the urinary bladder. Faced with these challenges, we tried utilizing a 7.5&#xa0;F, 26-cm pediatric flexible cystoscope. Despite our best efforts, the tightness of the knot proved insurmountable. Under spinal anesthesia, a suprapubic cystotomy was performed, and the wire was untied and retrieved from the urinary bladder via the urethra.</p> Conclusion <p>When the urethra is too narrow for an adult cystoscope, a pediatric cystoscope can be a considerable intervention option.</p>