ABSTRACT

A 45-year-old male patient presented with a complaint of obstructive lower urinary system symptoms, haematuria, suprapubic pain and urethral discharge that had worsened in the last two days. There was a hard nodular swelling at the urethral region of the proximal penile shaft on palpation. An x-ray of the kidneys, ureter and bladder (KUB) demonstrated radiopaque multiple opacities inside the bladder. Cystoscopy was performed and multiple beads connected each other were observed in the urethra and bladder. Cystoscopic removal of the foreign body was impossible because of too many beads knotted in the bladder; thus, a percutaneous surgery was planned. Suprapubic percutaneous cystostomy is an easy and good option for removing objects from the bladder with minimal possible damage to the urethra.