[Unusual intraurethral foreign body in a schizophrenic adolescent: about a case]. / Corps étranger intra urétral inhabituel chez un adolescent schizophrène: à propos d'un cas.

Self- insertion of foreign body is a common practice for self-injure or erotic purpose in patients with chronic psychosis. The diagnosis is sometimes difficult if it is reported late or if the patient does not cooperate; hence the interest of complementary imaging assessment. Treatment was based on two steps: the extraction of the foreign body by endoscopy or open surgery and psychiatric treatment of the mental illness. We report the uncommon case of a 16-year old schizophrenic adolescent who had introduced a needle into the urethra 2 years before. Diagnosis was based on retrograde and mictional uretrocystography. The needle was removed with endoscopy as well as with technical artifices, without using open surgery despite the length of time the incident had occurred. The patient underwent complementary psychiatric treatment.

Elective gangrene of the corpus spongiosum of idiopathic origin: A case report.

Penile gangrene is rare and associated with significant morbidity and mortality. It can be dry or wet. Treatment for dry gangrene is based on surgery, watchful waiting allowing spontaneous amputation of necrotic tissue or revascularization. It often depends on the general condition of the patient. We report a case of a 54-year-old patient with no significant medical history who presented with necrosis of the glans penis. Upon surgical exploration, we found an elective necrosis of the entire corpus spongiosum for which partial penectomy was performed. No etiology was found. To our knowledge, this is the first such case to be reported in the literature.