His detailed pscyhological evaluation did not reveal any abnormality and the urine culture was sterile. Most of them are due to self instrumentation. Patients usually present with dysuria, as in our case. The urine culture was sterile in our patient. This classification helps in the diagnosis and management of patients.
Objects placed below the urogential diaphragm are palpable and can easily be removed endoscopically.
In our case, after the bladder catheterization and fluid challenge test, the cotton thread was projecting through the external urinary meatus, which could be removed without any difficulty. Moreover the child became asymptomatic after the removal of the thread. The foreign objects sometimes get slipped into the bladder. Our patient was psychologically normal and there was no stress in the family also. There are only a few case reports of foreign bodies in the urethra among children.