Published online Oct 27, 2016. doi: 10.4240/wjgs.v8.i10.679
Peer-review started: May 16, 2016
First decision: June 14, 2016
Revised: August 13, 2016
Accepted: August 30, 2016
Article in press: August 31, 2016
Published online: October 27, 2016
To highlight the rising trend in hospital presentation of foreign bodies retained in the rectum over a 5-year period.
Retrospective review of the cases of retained rectal foreign bodies between 2008 and 2012 was performed. Patients’ clinical data and yearly case presentation with data relating to hospital episodes were collected. Data analysis was by SPSS Inc. Chicago, IL, United States.
Twenty-five patients presented over a 5-year period with a mean age of 39 (17-62) years and M: F ratio of 2:1. A progressive rise in cases was noted from 2008 to 2012 with 3, 4, 4, 6, 8 recorded patients per year respectively. The majority of the impacted rectal objects were used for self-/partner-eroticism. The commonest retained foreign bodies were sex vibrators and dildos. Ninty-six percent of the patients required extraction while one passed spontaneously. Two and three patients had retrieval in the Emergency Department and on the ward respectively while 19 patients needed examination under anaesthesia for extraction. The mean hospital stay was 19 (2-38) h. Associated psychosocial issues included depression, deliberate self-harm, illicit drug abuse, anxiety and alcoholism. There were no psychosocial problems identified in 15 patients.
There is a progressive rise in hospital presentation of impacted rectal foreign bodies with increasing use of different objects for sexual arousal.
Core tip: There is a progressive rising incidence of retained rectal foreign bodies with increasing use of different designed and improvised objects for sexual arousal. The clinicians in the emergency settings must be well informed about the approach to the care of the patients with foreign bodies retained in the rectum.