Example: [Collected on the Internet, August 2013]
A 70-year-old Canberra man came to an extraordinarily painful fork in the road when he presented to Canberra Hospital's Emergency Department with a 10cm fork lodged in his penis.
Origins: The annals of emergency medicine provide numerous accounts of patients who have sought treatment for the removal of sizeable foreign objects from the rectum or urethra, items which sometimes ended up penetrating those openings by accident, but most commonly were deliberately inserted by patients seeking
That list added another entry in August 2013, when the International Journal of Surgery Case Reports published an article entitled "An Unusual Urethral Foreign Body" authored by three Australian doctors from The Canberra Hospital's Department of Urology. The doctors reported on the removal of a dining fork ("via forceps traction and copious lubrication") from the urethra of a 70-year-old man, as shown in the x-ray displayed above:
Extraction of the foreign body via the urethral meatus was successful under general anaesthesia, with the aide of lignocaine gel and Rampley forceps. An open excision was not required. Urethrocystoscopy identified mucosal abrasions in the pendulous and bulbar urethra. A urethral catheter was not placed. The patient voided well and went home post-procedure.
The authors also noted that men inserting objects into their urethras is a fairly uncommon phenomenon, and the use of a fork in such a scenario is rather rare:
The practice manifests primarily during states of pathological masturbation, substance abuse and intoxication and as a result of psychological compounders.
Autoerotic stimulation with the aid of self-inserted urethral foreign bodies has been existent since time immemorial and have presented an unusual but known presentation to Urologists. The presentation is however delayed owing to the fundamental emotion of embarrassment. Of those who seek medical attention, haematuria, dysuria, urinary frequency, strangury and urinary retention are the most common presenting features.
Dire consequences such as fulminant sepsis and death ensue such behaviour in the event of delayed medical encounter.
Despite the available literature on self-inserted urethral foreign bodies; the case we herein describe of a penile urethral fork is a rarity.
A photograph of the fork removal can be viewed here. (Graphic image warning)
On the subject of forks stuck in bodies, we covered a less squeam-inducing case in 2007 which dealt with a boy whose nose was impaled by a fork in an accident at a restaurant.
Last updated: 6 August 2015
Greener, Mark. "What's Up, Cock?" Fortean Times. April 2010. Naidu, Krishanth et al. "An Unusual Urethral Foreign Body." International Journal of Surgery Case Reports. 2013; Vol. 4, No. 9.