A Tale of an Impacted Thorny Twig in the Urethra and Over-Loading Removal Technique

Urethral foreign bodies are mostly self-inserted because of exotic impulse, desire of sexual gratification, psychosexual problems, or under alcohol influence. Most of the foreign bodies are easily inserted, but the failure of removing it becomes the reason of presentation to the hospital. A 15-year-old male presented with a 35-cm-long thorny twig inserted into the urethra, which got impacted leading to painful hematuria. The twig was removed by an over-loading technique using a nasogastric tube (Ryle’s tube) in a remote island of India. The procedure was successful without causing additional trauma during the removal of the foreign body.