Megalourethra With Calculi

Kolte, Sanjay; Deshmukh, Avaneesh; Wani, Bhushan; Kolte, Gaurav

doi:10.1016/j.urology.2009.04.022

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Primary urethral calculi are very rare in females and if present they are almost always associated with underlying genitourinary pathology (stricture, diverticulum). [14][15][16] In male, the commonest location of urethral calculi is the posterior urethra and if it occurs in anterior urethra it is usually associated with urethral diseases (strictures, diverticulum, or urethrocele). [17][18][19] In female development of urethral calculi is very rare due to their short urethra and a lower incidence of bladder calculi.…”

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confidence: 99%

Evaluation and management of urethral calculi

Ameen¹,

Kegham²,

Abid³

2017

Int Surg J

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INTRODUCTIONUrolithiasis represents a major problem met within urological practice.1 it affects 10-12% of the populations, the incidence of calculus diseases is quite variable in relation to age, sex, occupation, geographical locations, season, climate, social class, dietary fluid intake and racial differences are also noted (black people appears to suffer less frequently than white). 2,3 Urinary calculi are the third most common affliction of the urinary tract, exceeded only by UTI and pathological conditions of prostate. 3Renal and ureteral calculi account for more than 87% of the total calculi and 10% in the urinary bladder while ureteral calculi account for about 1.7-3% of all urinary calculi. 5-7Male urethra about 20 cm in length and extends from the neck of the bladder to the external meatus on the glans penis, Male urethra is divided into posterior and anterior urethra, posterior urethra is further divided into 3 parts:• Preprostatic portion; measure up to 1 cm in length and it runs from the bladder neck to the prostate ABSTRACT Background: To evaluate the presentation, management and outcome of patient with urethral calculi in addition to determine the most common type of calculi encountered in those patients and the chemical composition of those calculi to prevent their recurrence. Methods: Sixty-nine patients with urethral calculi, 63 males and six females were included in this study at AlYarmouk teaching hospital, Bagdad, Iraq from April 2016 to April 2017. The diagnosis of urethral calculi was based mainly on the clinical presentation and cystoscopy evaluation in addition to the history, examination and investigations.Results: All together Sixty-nine patients were recruited in this study [63 male (91.3%) and 6 females (8.6%)], regarding sex distributions of patients the largest number of patients with urethral calculi were found in male between 21-40 years old, the most common presenting symptom was dysuria (60.8%), the presentation of pediatric urethral calculi was different (any suspicion of urethral mass on palpation gave high index of suspicion of urethral calculi). Conclusions: Nephrolithiasis especially renal calculi represent a widespread problem, recurrent UTI is one of the leading risk factor in urinary calculi and should be vigorously treated and any case should be in investigated carefully and chemically analysed to prevent further attacks and recurrence in future. Unbalanced diet with poor hygiene especially for the urethral calculi plays an additional role in the pathogenesis of urethra calculi.

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mentioning

confidence: 99%

Evaluation and management of urethral calculi

Ameen¹,

Kegham²,

Abid³

2017

Int Surg J

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“…Kolte et al . [5] ont rapporté cette association MUC et calcul urétrale chez un enfant de 8 ans. Ces calculs sont en rapport avec la stase.…”

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Méga-urètre congénital compliqué de calculs: à propos d'un cas

Sghair¹,

Mballa²,

Naji³

et al. 2019

Pan Afr Med J

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Le méga-urètre congénital est une malformation rare à l'origine d'un désordre mictionnel avec parfois un retentissement sur le haut appareil urinaire. Malgré l'association fréquence avec d'autres malformations urinaires et extra urinaires, chez l'enfant, la complication par des calculs n'a été rapportée qu'une seule fois dans la littérature. Nous rapportons un cas de méga-urètre congénital compliqué de calculs de stase chez un enfant de 3 ans pris en charge avec succès au Service de Chirurgie Pédiatrique du Centre Hospitalier Mère et Enfant de Nouakchott. A travers cette observation, nous revenons sur les aspects épidémiologiques, cliniques et thérapeutiques de cette association entre méga-urètre congénital et calculs urinaires.

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“…However, urethral stones are rare and occasionally result in acute urinary retention [8]. They are variably associated with anatomical abnormalities like strictures or dilatations of the urethra [5, 11, 12]. …”

Section: Discussionmentioning

confidence: 99%

Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. VI. Unusual Events in Urolithiasis: 1. Long-Standing Urethral Stones without Underlying Anatomical Abnormalities in Male Children

et al. 2018

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Objectives: The study aimed to present our center’s experience with long-standing urethral stones in male children with normal urethra. Materials and Methods: Retrospective search of our center data was done for the cases of long-standing urethral stones with normal urethra in male children during the period July 2001 – June 2016. Demographic and clinical data were studied. Results: Of more than 54,000 urolithiasis procedures, 17 male children (0.031%) were operated for long-standing urethral stones with normal urethra. In 14 cases (82.4%), residence was rural and parental education levels were low or none. All children were regularly prompted voiding with a history of difficulty or dysuria. All the stones lodged in the posterior urethra with an approximate mean duration of 2 months. The mean stone size of 11.29 ± 3.88 mm and rough surfaces in 88.2% of cases represented the main predisposing factors. Major complications included rectal prolapse in 1 case and vesicoureteral reflux in 3 cases. Endoscopic push-back was followed by disintegration in 76.5% or cystolithotomy in 17.7%, while it failed in 1 case that was treated by cystolithotomy. Conclusions: Long-standing urethral stones in male children with normal urethra are very rare misdiagnoses. Stone topography and sociocultural factors predisposed to their lodgments and negligence. Endoscopic treatment is the best approach.

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Megalourethra With Calculi

Cited by 3 publications

References 6 publications

Evaluation and management of urethral calculi

Evaluation and management of urethral calculi

Méga-urètre congénital compliqué de calculs: à propos d'un cas

Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. VI. Unusual Events in Urolithiasis: 1. Long-Standing Urethral Stones without Underlying Anatomical Abnormalities in Male Children

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