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[A case of lithiasis and stenosis of the urethra. Diagnostic and therapeutic problems]
1Divisione di Chirurgia Generale, USL N. 12 Ospedale G.P. Delogu, Chilarza Oristano.
Insights
Urethral stenosis and stones are rarely associated, but can develop after repeated endoscopic procedures or catheterization. This case highlights the importance of careful diagnosis and management to prevent complications.
Area of Science:
- Urology
- Medical Science
Background:
- Urethral stenosis, more common in males, can result from urethritis, benign prostatic hyperplasia (BPH), trauma, neurogenic bladder, or iatrogenic causes like endoscopic treatments and catheterization.
- The association between urethral stenosis and stones is infrequent but clinically significant.
Observation:
- A 42-year-old male developed urethral stenosis with stones within four years following multiple endoscopic examinations for urolithiasis.
- This case illustrates a potential complication of repeated urological interventions.
Findings:
- Diagnosis of urethral stenosis requires a non-invasive approach, including clinical evaluation, bacteriology, ultrasonography, and urodynamic studies.
- Minimizing invasive procedures is crucial in managing urethral stenosis.
Implications:
- All treatments for urethral stenosis carry risks of complications, necessitating prolonged follow-up for objective outcome evaluation.
- A critical assessment of diagnostic and therapeutic strategies is essential for optimizing patient care and outcomes.
Abstract:
The association of urethral stenosis and stones is not frequent. The urethral stenosis, particularly common in males, recognizes, as predisposing causes, urethritis, IPB, perineal trauma, neurogenic bladder and, last, but not the least important, endoscopic treatments or repeated catheterism. The authors report a case of a 42 year old man who underwent, for urolithiasis, several endoscopic examinations, which became urethral-stenosis with stones within four years. With responsible and critical behaviour, etiology, the diagnostic procedures and the therapy (invasive or not) of the urethral-stenosis are examined and evaluated. Diagnosis must be based on a non painful approach (clinical, bacteriological, ultrasonography, uro-dynamic studies); the invasive procedures must be limited as much is possible. Whatever treatment is used, which may always give sequences or complications, a prolonged follow-up is mandatory to have an objective evaluation of the results.