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Urethral calculi in children

A Bedii Salman1

  • 1Department of Pediatric Surgery, Ataturk University, Faculty of Medicine, Erzurum, Turkey.

Journal of Pediatric Surgery
|October 1, 1996
PubMed
Summary

Pediatric urethral calculi presentation and treatment vary by stone location. Posterior urethral stones caused continuous dribbling, while anterior stones led to acute urinary retention in boys.

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Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Urethral calculi in children present unique diagnostic and management challenges.
  • Understanding the factors influencing clinical presentation and treatment is crucial for effective pediatric urological care.

Purpose of the Study:

  • To retrospectively evaluate factors influencing the clinical picture and treatment of urethral calculi in pediatric patients.
  • To correlate the localization of urethral calculi with clinical symptoms and required interventions.

Main Methods:

  • Retrospective analysis of 60 male pediatric patients diagnosed with urethral calculi.
  • Evaluation of clinical presentation, stone location (posterior, bulbous, penile, external urethral meatus), and treatment modalities.

Main Results:

  • Pain in the penis and self-retraction were common symptoms.
  • Posterior urethral calculi were associated with continuous urinary dribbling; anterior calculi with acute urinary retention.
  • Calculi were located in the posterior urethra (10), bulbous urethra (13), penile urethra (20), and external urethral meatus (17).
  • Retrograde manipulation into the bladder was used for posterior and some bulbous calculi.
  • External urethral meatus extraction was performed for 42 calculi.
  • Urethrotomy and urethrocutaneous fistula were required for complex cases.

Conclusions:

  • The clinical presentation and treatment of pediatric urethral calculi are significantly influenced by stone localization.
  • Stone shape and diameter are key determinants of calculus localization and subsequent management strategies.

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