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Urethral calculi: a review

I Hassan1, I Mahammed

  • 1Department of Surgery, Ahmadu Bello University Hospital, Zaria, Nigeria.

East African Medical Journal
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

This review of 19 male patients with urethral calculi found urinary retention common. Most cases involved anterior urethral stones, anatomical issues, and urinary infections, often treated with external urethrotomy or cystolithotomy.

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Area of Science:

  • Urology
  • Nephrology

Background:

  • Urethral calculi are a relatively uncommon condition.
  • Diagnosis and management can be challenging, particularly in younger populations.

Purpose of the Study:

  • To review the diagnosis and management of urethral calculi in a cohort of patients.
  • To identify common symptoms, associated urethral abnormalities, and treatment outcomes.

Main Methods:

  • Retrospective review of 19 male patients treated for urethral calculi over 16 years.
  • Analysis of presenting symptoms, stone location, urethral anatomy, and infection rates.
  • Evaluation of surgical interventions used for calculus removal.

Main Results:

  • The median age was 20 years, with urinary retention as the most frequent symptom.

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  • Anterior urethral calculi were present in 68% of patients.
  • Anatomic alterations of the urethra were noted in 74%, and 80% had urinary infections.
  • External urethrotomy and open cystolithotomy were the primary surgical methods.

    • Conclusions:

    • Urethral calculi in young males often present with urinary retention and are associated with urethral anatomical abnormalities and infection.
    • Surgical removal via external urethrotomy or cystolithotomy is effective.