A 79-year-old Japanese man had a 90-inch jump rope lodged in his bladder after inserting it through his penis in what one doctor described as the “most extreme” case they had ever seen.
Shocking scans released by his doctors show how the seven-foot thin rope – which had no handles – coiled tightly around the unidentified man’s bladder.
This made it impossible for medics to pull it out once it got in, so they had to cut open his bladder to surgically remove it.
The man did not tell doctors why he inserted the string, but inserting objects into the opening of the penis is a risky sexual act known as probing.
Medics used information from detailed scans to create a 3D computer model of the tangled rope to determine the best removal method.
A British expert said it was one of the “most extreme” cases of a penile object he had heard of in his two-decade career.
This X-ray revealed the object of the 79-year-old man’s urinary discomfort, a tightly coiled and now tangled jump rope he had inserted into his penis
The jump rope of no less than 230 cm after doctors surgically removed the object from his bladder
The Japanese said it showed the value of using 3D computer models (right) created from scans to determine how best to remove foreign objects in the bladder.
Experts from Dokkyo Medical University in the city of Mibu, 100 km north of Tokyo, described the incident in a medical case report.
The elderly man originally attended the University Hospital complaining of dysuria, a painful or burning sensation when urinating.
When medics examined his bladder with ultrasound, they found that “a large object accompanied by acoustic shadows” was in the bladder. An X-ray then revealed the object to be “a foreign body coiled up like a thread”.
The man then had to admit to the doctors that he had inserted a jump rope into the urethra of the penis. Medics did not say whether the man explained why he committed the bizarre act.
The lead author of the case report, published in the journal Urology Case Reports, urologist Professor Toshiki Kijima, said the medics then performed a CT scan to determine the best way to remove the string.
He said they then used a computer program to create a 3D reconstruction of the string, which showed it was too tangled for the penis to pull out again.
The string became tangled as the bladder contracted, a natural process that occurs after stored urine is expelled.
“The transurethral extraction was difficult given the length of the cord and its entanglement in the bladder,” Professor Kijima said.
“Traditionally, grabs and baskets are used to remove rubbish.
However, sutures placed in the bladder usually curl up as the bladder contracts; therefore, special care is required with filamentous foreign bodies.’
This forced medics to surgically remove the string through a small incision in the man’s abdomen and then pull it completely out of the bladder.
They said that by removing it this way, they avoided possible damage to his urethra or bladder by forcefully pulling the tangled cord out of his penis.
The man enjoyed a full recovery with no ongoing complications from the insertion or the surgery itself.
In their report, the medics said the case demonstrates the “invaluable” utility of using 3D reconstructions to determine how best to remove objects inserted into the bladder.
“Any handling of the foreign body should be avoided until the exact material, size, shape and location is determined, as this could lead to further urethral damage,” he said.
Professor Giulio Garaffa, a uro-andrologist at the International Andrology for Men private clinic in London, told MailOnline that this case was one of the “most extreme” cases of urethral insertion he had heard of.
“In my 20 years of experience in this field, I have encountered a number of ER patients who perform this practice and use all kinds of objects that are thin enough to pass through the urethra. However, an object 230 cm long must be one of the most extreme cases,” he said.
He added that the man was lucky to avoid some of the potential complications of such an insertion.
“He was undoubtedly very lucky to escape some more serious complications such as infection,” he said.
“If you put something non-sterile into your body, you can cause tissue infection, and sometimes those infections can be very serious, leading to things like tissue necrosis or even sepsis.”
Inserting objects into the opening of the penis for sexual pleasure is called studding, which carries several risks.
More serious complications, such as a hole in the bladder and scarring of the tube that carries urine out of the body, may require major reconstructive surgery.
British experts have previously reported an increase in the number of men with sound problems in recent years.
They accused men who wanted to “expand their sexual activities and enhance their sexual experiences.”
Other known reasons for inserting objects into the urethra can include mental health issues, as well as extremely ill-advised DIY attempts to cure problems with urination or maintaining an erection.
Patients who have an object in their penis are usually reluctant to seek medical advice out of guilt or shame, which can lead to further medical problems.
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