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A Giant Urethral Calculus
G Sigdel1, A Agarwal1, B W Keshaw1
1Department of Urology, College of Medical Sciences, Chitwan, Nepal.
JNMA; Journal of the Nepal Medical Association
|March 17, 2016
Summary
This case report details a rare giant posterior urethral calculus in a male patient. The large stone caused acute urinary retention and was successfully removed via cystolithotomy.
Area of Science:
- Urology
- Nephrology
- Surgical Case Reports
Background:
- Urethral calculi are uncommon, often originating from the bladder or upper urinary tract.
- Primary urethral stones typically indicate underlying conditions like urethral strictures or diverticula.
Observation:
- A 47-year-old male presented with acute urinary retention, burning micturition, and urinary dribbling.
- Imaging revealed a giant posterior urethral calculus measuring 7x3x2 cm.
Findings:
- The large urethral calculus was successfully manipulated into the bladder using a cystoscope.
- The stone was subsequently removed through a suprapubic cystolithotomy procedure.
Implications:
- This case highlights the possibility of large urethral calculi and the effectiveness of combined cystoscopic and surgical intervention.
- Early diagnosis and appropriate management are crucial for resolving obstructive urinary symptoms caused by rare stone formations.
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