Abstract
Urethral calculus is a rare form of urolithiasis with an incidence lower than 0.3%. We determined the outcomes of 15 patients with urethral stone, of which 8 were pediatric, including an undiagnosed primary fossa navicularis calculus. Fifteen consecutive male patients, of whom eight were children, with urethral calculi were assessed between 2000 and 2005 with a mean of 19 months’ follow-up. All stones were fusiform in shape and solitary. Acute urinary retention, interrupted or weak stream, pain (penile, urethral, perineal) and gross hematuria were the main presenting symptoms in 7 (46.7%), 4 (26.7%), 3 (20%) and 1 (6.6%) patient, respectively. Six of them had accompanying urethral pathologies such as stenosis (primary or with hypospadias) and diverticulum. Two patients were associated with upper urinary tract calculi but none of them secondary to bladder calculi. A 50-year-old patient with a primary urethral stone disease had urethral meatal stenosis accompanied by lifelong lower urinary tract symptoms. Unlike the past reports, urethral stones secondary to bladder calculi were decreasing, especially in the pediatric population. However, the pediatric patients in their first decade are still under risk secondary to the upper urinary tract calculi or the primary ones.
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References
Menon M, Martin IR (2002) Urinary lithiasis: etiology, diagnosis and medical management. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campbell’s urology, 8th edn, vol 4. WB Saunders, Philadelphia, pp 3288–3289
Seltzer LG, Fischer WW, Miller SZ (1993) Pediatric bladder outlet obstruction due to urethral calculus. Case report and review of the literature. Pediatr Radiol 23:549–550
Aegukkatajit S (1999) Reduction of urinary stone in children from north-eastern Thailand. J Med Assoc Thai 82:1230–1233
Kamal BA, Anikwe RM, Darawani H, Hashish M, Taha SA (2004) Urethral calculi: presentation and management. BJU Int 93:549–552
Jorgensen JB, Jensen KE (1996) Uroflowmetry In: Boone TB (ed) The Urologic Clinics of North America, Urodynamics, vol 1. WB Saunders, Philadelphia, p 239
Koga S, Shiraishi K, Saito Y, Arakaki Y, Matsuoka M (1993) Sonography of urethral calculi. Urol Int 50:203–204
Ginesin Y, Bolkier M, Nachmias J, Levin DR (1988) Primary giant calculus in urethral diverticulum. Urol Int 43:47–48
Suzuki Y, Ishigooka M, Hayami S, Nakada T, Mitobe K (1997) A case of primary giant calculus in female urethra. Int Urol Nephrol 29:237–239
Senocak ME, Turken A, Buyukpamukcu N (1995) Urinary obstruction caused by factitious urethral stones: an amazing manifestation of Munchausen syndrome by proxy. J Pediatr Surg 30:1732–1734
Gokce G, Topsakal K, Ayan S, Kilicarslan H, Gokce SF, Gultekin EY (2004) Case report: nonobstructive giant urethral stone with two safety pins. Int Urol Nephrol 36:65–66
Bedii SA (1996) Urethral calculi in children. J Pediatr Surg 31:1379–1382
Koga S, Arakaki Y, Matsuoka M, Ohyama C (1990) Urethral calculi. Br J Urol 65:288–289
Walker BR, Hamilton BD (2001) Urethral calculi managed with transurethral Holmium laser ablation. J Pediatr Surg 36:16
el-Sherif AE, el-Hafi R (1991) Proposed new method for nonoperative treatment of urethral stones. J Urol 146:1546–1547
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Verit, A., Savas, M., Ciftci, H. et al. Outcomes of urethral calculi patients in an endemic region and an undiagnosed primary fossa navicularis calculus. Urol Res 34, 37–40 (2006). https://doi.org/10.1007/s00240-005-0008-2
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DOI: https://doi.org/10.1007/s00240-005-0008-2