It exhibited motions like those of a snake, and was quite lively, living five or six days in water.

The case seems quite unaccountable, but there is, of course, a possibility that the animal had already been in the chamber, or that it was passed by the bowel.

A rectovaginal or vesical fistula could account for the presence of this worm had it been voided from the bowel; nevertheless the woman adhered to her statement that she had urinated the worm, and, as confirmatory evidence, never complained of pain after passing the animal.
Foreign bodies in the bladder, other than calculi (which will be spoken of in Chapter XV), generally gain entrance through one of the natural passages, as a rule being introduced, either in curiosity or for perverted satisfaction, through the urethra.

Morand mentions an instance in which a long wax taper was introduced into the bladder through the urethra by a man.

At the University Hospital, Philadelphia, White has extracted, by median cystotomy, a long wax taper which had been used in masturbation.