Methamphetamine Abuse Presenting as Dysuria Following Urethral Insertion of Tablets

Foreign bodies are inserted into the male urogenital tract for a variety of motives & patients may present with symptoms of dysuria, urinary retention, hematuria, discharge or priapism. Concomitant psychopathology is seen frequently, necessitating a thorough psychiatric assessment with attention to other acts of self injury. This reports the case of an abuser of methamphetamine who inserted sustained-release form of medication into his urethra, with resulting mechanical & pharmacological trauma.