Vol. 7, Issue 2, Part D (2025)

Intravesical foreign bodies in children are rare and often result from self-insertion driven by curiosity or behavioral factors, posing both diagnostic and therapeutic challenges. We report the case of a 13-year-old boy who presented with a two-week history of intermittent painless gross hematuria, with no lower urinary tract symptoms or prior history of trauma or instrumentation. Clinical examination was unremarkable, and imaging with plain radiography and non-contrast CT scan revealed a long, radiopaque, coiled object within the bladder extending into the anterior urethra. A diagnosis of self-inserted intravesical and intraurethral foreign body was made. The patient underwent rigid pediatric cystoscopy under general anesthesia, during which a 105 cm metallic wire was identified and carefully extracted stepwise under direct vision. The entire wire was removed without complications, and the postoperative course was uneventful. At two-week follow-up, the patient remained asymptomatic with no residual abnormalities on ultrasonography. Psychiatric counseling revealed curiosity-driven behavior without evidence of psychosis or abuse. This case underscores the importance of considering foreign bodies in children presenting with unexplained hematuria, highlights the role of imaging in diagnosis and operative planning, and demonstrates that endoscopic removal can be a safe and effective approach even for unusually long intravesical objects. Multidisciplinary care, including psychiatric evaluation, is essential for comprehensive management and prevention of recurrence.