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Related Experiment Videos

Preputial calculi: a case report.

T Yuasa1, S Kageyama, T Yoshiki

  • 1Department of Urology, Shiga University of Medical Science.

Hinyokika Kiyo. Acta Urologica Japonica
|August 29, 2001
PubMed
Summary
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Elderly men with phimosis can develop severe urinary retention and kidney problems due to balanoposthitis and preputial calculi. Prompt surgical intervention, including dorsal incision and stone removal, effectively resolves these critical conditions.

Area of Science:

  • Urology
  • Geriatric Medicine
  • Nephrology

Background:

  • Phimosis, the inability to retract the foreskin, can lead to complications in elderly patients.
  • Balanoposthitis, inflammation of the glans and foreskin, can exacerbate phimosis and cause urinary obstruction.
  • Urinary retention and renal insufficiency are potential severe consequences of untreated phimosis in the elderly.

Observation:

  • A 92-year-old male presented with urinary retention.
  • X-ray imaging revealed multiple calcification shadows in the penile region.
  • The patient was diagnosed with balanoposthitis, phimosis, preputial calculi, and resultant post-renal obstruction.

Findings:

  • Urgent surgical intervention, including a dorsal incision of the prepuce, was performed.

Related Experiment Videos

  • Successful removal of preputial calculi and placement of an indwelling catheter were achieved.
  • Post-operative recovery showed rapid improvement in renal function and restoration of spontaneous urination.

    • Implications:

    • This case highlights the critical importance of surgical management for phimosis in elderly individuals.
    • Early diagnosis and treatment of phimosis can prevent severe complications such as urinary retention and renal failure.
    • Prompt surgical intervention ensures favorable outcomes and improved quality of life for geriatric patients with phimosis-related urological issues.