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Giant urethral calculus

T Win1

  • 1Department of Surgery, School of Medical Sciences, Hospital Universiti Sains Malaysia, Kelantan.

Singapore Medical Journal
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

A large 45g urethral stone was successfully removed from a 56-year-old male via external urethrotomy. This case highlights a rare instance of a giant calculus impacting the posterior urethra.

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Area of Science:

  • Urology
  • Medical Case Reports

Background:

  • Urethral calculi are uncommon, with giant calculi being exceptionally rare.
  • Impacted stones in the posterior urethra pose unique surgical challenges.

Observation:

  • A 56-year-old Malay male presented with symptoms of a giant urethral calculus.
  • The calculus measured 70 x 50 x 40 mm and weighed 45 g, impacted in the posterior urethra.

Findings:

  • Successful surgical removal of the giant urethral calculus was achieved.
  • The surgical approach utilized was external urethrotomy.

Implications:

  • This case demonstrates the feasibility of external urethrotomy for managing large, impacted urethral stones.
  • Highlights the importance of considering rare, large calculi in the differential diagnosis of obstructive urinary symptoms.