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Background <p>Urethral foreign body insertion is an underreported issue in adolescents. Migration to the scrotum is exceptionally rare, with &lt; 20 cases reported. We highlight diagnostic and management challenges.</p> Case summary <p>A 14-year-old boy presented with 11 days of progressive scrotal pain, swelling, and fever (38.5&#xa0;°C). Computed tomography (CT) revealed an 8-cm hyperdense foreign body extending from the urethra into the scrotum. Surgical exploration identified an embedded cotton swab with purulent exudate. Combined scrotal exploration and cystoscopy achieved complete retrieval. After a 3-week catheterization, recovery was uneventful. One-year follow-up showed spermatic cord fibrosis but preserved testicular function.</p> Conclusion <p>Cross-sectional imaging is critical for diagnosis. Combined surgical approaches optimize outcomes for large migrated foreign bodies. Adolescents require psychological intervention to prevent recurrence.</p>

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Migration of a urethral foreign body into the scrotum in an adolescent: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月21日

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  • Ye Wu,
  • Jian-He Wu,
  • Xian-Ya He,
  • Yi-Ming Zeng,
  • Yong-Jun Yang,
  • Yuan-Wei Li,
  • Qiang Lu

摘要

Background

Urethral foreign body insertion is an underreported issue in adolescents. Migration to the scrotum is exceptionally rare, with < 20 cases reported. We highlight diagnostic and management challenges.

Case summary

A 14-year-old boy presented with 11 days of progressive scrotal pain, swelling, and fever (38.5 °C). Computed tomography (CT) revealed an 8-cm hyperdense foreign body extending from the urethra into the scrotum. Surgical exploration identified an embedded cotton swab with purulent exudate. Combined scrotal exploration and cystoscopy achieved complete retrieval. After a 3-week catheterization, recovery was uneventful. One-year follow-up showed spermatic cord fibrosis but preserved testicular function.

Conclusion

Cross-sectional imaging is critical for diagnosis. Combined surgical approaches optimize outcomes for large migrated foreign bodies. Adolescents require psychological intervention to prevent recurrence.