Giant urethral calculus in anterior urethral diverticulum: a case report
| Autor: | Wanting Xu, Maokun Sun, Ruili Sun, Haiyue Xu, Wenyi Ma, Shuai Guo |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology Case Report Lithotripsy lcsh:RC870-923 digestive system Frequent urination 03 medical and health sciences 0302 clinical medicine Urethra Urethral Diseases medicine Urethral diverticulum Humans Dysuria Ureteroscopy Calculus (medicine) Aged 80 and over medicine.diagnostic_test business.industry Urethral calculus Magnetic resonance imaging General Medicine lcsh:Diseases of the genitourinary system. Urology medicine.disease digestive system diseases Surgery Diverticulum Reproductive Medicine 030220 oncology & carcinogenesis Urinary Calculi medicine.symptom business |
| Zdroj: | BMC Urology, Vol 19, Iss 1, Pp 1-5 (2019) BMC Urology |
| ISSN: | 1471-2490 |
| DOI: | 10.1186/s12894-019-0498-9 |
| Popis: | Background In this case report, giant calculus in the urethral diverticulum was found through ureteroscopy investigation, the pneumatic lithotripsy combined with ultrasound lithotripsy (PLCUL) was successfully performed to break down this rare and giant urethral calculus in the diverticulum without open surgery. Case presentation A 82-year-old male presented to the urology department, complaining of frequent urination and dysuria. One giant, dark brown stone (6.5 × 6 × 5.5 cm) was revealed in the diverticulum of the anterior urethra using combination of local ultrasound, pelvic Computer Tomography (CT) and Magnetic Resonance Imaging (MRI). The stone was then successfully broken down via the PLCUL, and the emptied anterior urethral diverticulum was left untreated. In the 18 months’ follow-up, no new calculus was found in urethral tract, anterior diverticula became gradually smaller, eventually disappeared. Conclusion In the treatment of giant calculus in the urethral diverticulum, this case report provides an effective method of lithotripsy in the clinical trials. |
| Databáze: | OpenAIRE |
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