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Combined urethrolithotomy with vesicolithotomy in an 18-months old boy

Badar Murtaza1, Naser Ali Khan, Asif Nadeem

  • 1Combined Military Hospital, Bahawalnagar Cantonment, Pakistan. badar_murtaza@yahoo.com

Journal of Ayub Medical College, Abbottabad : JAMC
|April 24, 2009
PubMed

Insights

A pediatric case of acute urinary retention in an 18-month-old boy was successfully treated. The child had both urethral and bladder stones, managed with a combined surgical approach.

Area of Science:

  • Pediatric Urology
  • Surgical Case Reports

Background:

  • Acute urinary retention (AUR) in infants is a rare but serious condition.
  • Urinary tract stones can lead to significant morbidity in pediatric patients.

Observation:

  • An 18-month-old male presented with acute urinary retention.
  • Diagnostic evaluation revealed a urethral calculus and a vesical calculus.

Findings:

  • A combined surgical approach involving external urethrotomy and open vesicolithotomy was performed in a single operative session.
  • The patient experienced an uncomplicated postoperative recovery.

Implications:

  • This case highlights the feasibility and efficacy of a combined surgical technique for managing complex pediatric urinary calculi.
  • Prompt surgical intervention can lead to favorable outcomes in infants with AUR secondary to urolithiasis.

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