Abstract
The insertion of foreign objects into the genitals for sexual pleasure has been reported in a certain number of cases by both men and women. Common foreign objects include household items such as batteries, pens, and thermometers, but unexpected substances such as glue and jelly foods have also been identified. These acts can cause health hazards, and diagnosis is often delayed, especially when patients hide the fact due to shame. This report presents the case of a 54-year-old male who developed bilateral epididymitis after injecting jelly foods into the urethra for sexual pleasure. Initial clinical evaluation was unable to identify the causative substance, even after a medical history, physical examination, and imaging tests, due to the highly radiolucent foreign object. The diagnosis was confirmed by the patient's detailed medical history and information. The patient's symptoms improved with antibiotic treatment. Social and psychological factors such as significant stress and economic difficulties may have influenced this behavior. The number of reports of sexual pleasure using highly radiolucent substances such as jelly foods is increasing, and medical professionals need to become more knowledgeable about its health risks. Prompt diagnosis and treatment require detailed interviews and building a relationship of trust. Raising awareness of the health risks associated with such practices is also essential to prevent recurrence.