Pilonidal sinus is a common disease in adults of 15-40 years of age hirsute males, jeep and truck drivers. Limberg flap has been recommended as the first line treatment for primary and recurrent disease. There is reluctance of general surgeons to perform the procedure at secondary health care level. This study was undertaken to check feasibility of flap surgery and compare outcomes at secondary health care level. In our study Limberg flap was done for all patients (total 10) of Pilonidal Sinus from December 2020 to November 2021.One case was associated with flap edema and two cases with persistent discharge from tip which subsided by 3 weeks. All patients were successfully treated and returned to work in 4 weeks. There was no recurrence. Limberg flap for Pilonidal sinus is a simple and easy to perform transposition flap even at district level hospital with a very low complication and recurrence rate.

Foreign bodies of the urethra and bladder are rare clinical entities and are most commonly associated with self-insertion, iatrogenic causes, or migration from adjacent anatomical structures. Individuals who are intoxicated, mentally confused, or sexually curious are at higher risk. Delayed presentation is frequent due to embarrassment and guilt, which may result in complications. We report the case of a 32-year-old unmarried male who presented with acute difficulty in micturition for one day. Physical examination revealed a palpable elongated foreign body extending from the distal penis to the penoscrotal junction. Pelvic X-ray confirmed the presence of an approximately 9–10 cm foreign body lodged in the anterior urethra. The patient had no associated systemic symptoms. Prompt diagnosis was made based on clinical examination and imaging findings. Management of urethral foreign bodies focuses on safe extraction, early recognition of complications, and preservation of erectile function. Endoscopic removal is preferred for foreign bodies located distal to the urogenital diaphragm, as it minimizes trauma and reduces the risk of long-term complications. Invasive surgical procedures are associated with higher morbidity, including infection, urethral stricture, fistula formation, and urinary incontinence. Early diagnosis and appropriate intervention are essential to ensure favorable outcomes.