Unusual case of urethral steinstrasse following laser cystolitholapaxy

Abstract

Urethral steinstrasse is a rare finding. This case describes a 35-year-old man presenting with urethral steinstrasse 4 weeks following laser cystolitholapaxy of a large bladder stone.

Images – Acute urinary retention due to urethral steinstrasse

“…Urethral steinstrasse has previously been reported following ESWL for large renal staghorn calculi 3 , in the post-cystolitholapaxy setting 4,5 , and also in two patients without any history of stone disease 6,7 . In this case, bladder calculi occurred as a complication of BPH which are most commonly managed endoscopically [8][9][10] .…”

Etiology and management of urethral calculi: A systematic review of contemporary series

“…Urethral calculi may arise de novo proximal to a urethral obstruction or within a diverticulum, and are often associated with a history of previous urethral surgery, recurrent urinary infection, and stasis [ 2 , 3 ]. Alternatively, calculi can migrate from the bladder or upper urinary tract to obstruct the urethra, and rarely urethral steinstrasse can result as a complication following stone fragmentation procedures [ 4 , 5 ].…”

Urethral steinstrasse: Day case care

“…Such stones are referred to as large fragment stones . This phenomenon has been reported to follow interventions such as extracorporeal shock wave lithotripsy, or cystolitholapaxy, resulting in secondary urethral steinstrasse . Primary urethral steintrasse may arise de novo or result from stasis and recurrent urinary tract infections (UTIs) from a penile urethral stricture .…”

“…1 This phenomenon has been reported to follow interventions such as extracorporeal shock wave lithotripsy, 2 or cystolitholapaxy, resulting in secondary urethral steinstrasse. 3,4 Primary urethral steintrasse may arise de novo or result from stasis and recurrent urinary tract infections (UTIs) from a penile urethral stricture. 5,6 We report a case of spontaneous alignment of multiple nonfragmented stones along the urethra from dislodged bladder stones.…”