The child could void freely after that without any dysuria. He initially maintained ignorance about the foreign body, but on repeated questioning, admitted that he inserted the foreign body through the meatus out of curiosity, but could not remove it. He was the first born of parents without any marital discord. 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.