Case Control Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2016; 8(10): 679-684
Published online Oct 27, 2016. doi: 10.4240/wjgs.v8.i10.679
Increasing trend in retained rectal foreign bodies
Abraham A Ayantunde, Zynep Unluer
Abraham A Ayantunde, Zynep Unluer, Department of Surgery, Southend University Hospital, Westcliff-on-Sea SS0 0BY, United Kingdom
Author contributions: Ayantunde AA and Unluer Z conceived the idea of the study, collected the data and analysed it; Ayantunde AA and Unluer Z wrote the manuscript, read through and approved it as a true reflection of the study.
Institutional review board statement: The study was reviewed and approved by Southend University Hospital Audit and Research Committee.
Informed consent statement: The study approved by Southend University Hospital Audit and Research Committee.
Conflict-of-interest statement: Authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Abraham A Ayantunde, MBBS, FRCS, Department of Surgery, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea SS0 0BY, United Kingdom.
Telephone: +44-1702-435555 Fax: +44-1702-385856
Received: May 15, 2016
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.

Keywords: Rectal foreign bodies, Rigid sigmoidoscopy, Eroticism, Examination under anaesthesia, Psychosocial issues

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.