Would you refuse a psychiatric evaluation after having tweezers removed from your urethra?

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A man had tweezers measuring 3.1inches (8cm) removed from his urethra four years after they got stuck inside. The 22-year-old, who has not been identified, claimed he had not suffered from any pain since he inserted them himself. Doctors found the tweezers lodged at least 2.7inches (7cm) up from the end of the penis - but they did not explain why he had put them there. Removing the tweezers posed a challenge owing to their sharp open ends, which could have destroyed the urethra while being pulled out.

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They said the man visited a clinic in Saudi Arabia 'with history of inserting a metal foreign body into his urethra four years ago'. It is not clear why the object was inserted, but is usually due to a psychiatric issue, being drunk or sexually curious, the doctors said. They added patients with this problem normally delay seeking medical help due to embarrassment or guilt.

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'The patient was recommended to undergo a psychiatric evaluation but he refused. The patient did not follow up with the outpatient department.'

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'Among the things I’ve seen was some telephone cable that knotted on itself in the bladder and couldn’t be pulled out. Bic pens are a regular favourite.' Other objects reported in literature include fish hooks, metal roads, hairpins, screws, pellets, wires and wooden sticks. Some of the even more bizarre choices include straws, toothbrushes, household batteries, marbles, vegetables, squirrel tail and a piece of fish.

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