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Penile urethral obstruction in a subject with spinal cord injury
U K Syam1, A B Taly, K P Sivaraman Nair
1Department of Psychiatric and Neurorehabilitation, National Institute of Mental Health and Neuroscience, Hosur Road, Bangalore, India.
Study Design:
Single case report.
Objective:
To report a case of urethral obstruction because of calculus in a subject with spinal cord injury (SCI).
Setting:
Bangalore, India.
Case Report:
A 25-year-old man sustained complete SCI at C(6) level following a road traffic accident. After 14 months, while on self-intermittent catheterization he noticed difficulty in introducing catheter and acute retention of urine. X-ray examination revealed a calculus in the penile urethra at the level of the glans penis.
Conclusion:
Impaction of calculi in penile urethra, although rare, can manifest with acute painless urinary retention in patients with SCI.