Giant long-standing urethral calculus without urinary retention: A case report

Ali, Muhammad Wahyu; Azmi, Yufi Aulia; Santoso, Anugrah Dianfitriani; Soetojo,

doi:10.1016/j.ijscr.2023.108084

Cited by 1 publication

(2 citation statements)

References 12 publications

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“…A meatotomy would be necessary if the location of the calculus is in the proximity of the external urethral meatus. 5 In this case, meatotomy or other invasive procedures were not performed due to calculus location. It was confirmed that the half of calculus was impacted in the meatus whereas the other half was palpated inside the navicular fossa.…”

Section: Case Reportmentioning

confidence: 99%

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Pediatric acute urinary retention due to impacted urethral meatal calculus: a rare case report

Putra,

Yulianto

2024

Int Surg J

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Urethral calculus is rare in pediatrics, especially with acute urinary retention. The diagnosis of urethral calculus is made by proper history taking, physical examination, and imaging studies. In this case, the diagnosis was made mainly by anamnesis, inspection, and palpation of the calculus in the external urethral meatus. Invasive and less invasive procedures such as open surgery, meatotomy, or laser lithotripsy procedure, can be a management of urethral calculus. In this case, simple extraction was performed without meatotomy or other invasive procedures. A 5-year-old, boy was reported to come to the emergency department because of severe pain in his penis and acute urinary retention. The patient had a history of dysuria, a habit of delaying urination, and low fluid intake. On physical examination, it was found a distention in the suprapubic area and a green-white solid mass at the external urethral meatus. A 10-millimeter calculus was successfully extracted from the external urethral meatus with simple extraction procedures under local anesthesia. This case report demonstrated a rare case of pediatric acute urinary retention secondary to impacted urethral meatal calculus in an emergency setting of a low-level hospital. Immediate and proper management was required due to the patient's condition and considering the lack of facilities. The extraction of calculus with minimal urethral damage was the recommendation.

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Section: Case Reportmentioning

confidence: 99%

“…4 The incidence of urethral calculus is only one to two percentages of all urolithiasis. 5 Urethral diverticulum, abscess, as well as the urethra-cutaneous fistula are frequent complications of urethral calculus. Urethral calculus can obstruct urine flow resulting in acute urinary retention that requires emergency procedures.…”

Section: Introductionmentioning

confidence: 99%

Pediatric acute urinary retention due to impacted urethral meatal calculus: a rare case report

Putra,

Yulianto

2024

Int Surg J

View full text Add to dashboard Cite

show abstract

Giant long-standing urethral calculus without urinary retention: A case report

Cited by 1 publication

References 12 publications

Pediatric acute urinary retention due to impacted urethral meatal calculus: a rare case report

Pediatric acute urinary retention due to impacted urethral meatal calculus: a rare case report

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