DOI: http://dx.doi.org/10.18203/2349-2902.isj20173182

Evaluation and management of urethral calculi

Ali Abdulqader Ameen, Hrair Haik Kegham, Ali Hussein Abid

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 Al-Yarmouk 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.


Keywords


Calculi, Urethral calculi, Urethra

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References


Arias FF, Garcia CE, Lovaco CF, Escudero BA, Avila PS, Villar PJ. Epidemiology of urinary lithiasis in our Unit. Clinical course in time and predictive factors. Arch Esp Urol. 2000;53:343-7.

Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017;17:1.

Prezioso D, Strazzullo P, Lotti T, Bianchi G, Borghi L, Caione P, et al. Dietary treatment of urinary risk factors for renal stone formation. A review of CLU working Group. Arch Ital Urol Androl. 2015;87:105-20.

Lotan Y, Buendia Jimenez I, Lenoir‐Wijnkoop I, Daudon M, Molinier L, Tack I, et al. Primary prevention of nephrolithiasis is cost-effective for a national healthcare system. BJU Int. 2012;110:1060-7.

Trinchieri A. Epidemiology of urolithiasis: an update. Clin Cases Miner Bone Metab. 2008;5:101-6.

Jung H, Osther PJ. Acute management of stones: when to treat or not to treat? World J Urol. 2015;33:203-11.

Turk C, Petrik A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU guidelines on diagnosis and conservative management of urolithiasis. Eur Urol. 2016;69:468-74.

Ali AI, Fathelbab TK, Abdelhamid AM, Elbadry M, Alshara L, Anwar AZ, et al. Transurethral pneumatic cystolithotripsy: a novel approach. J Endourol. 2016;30:671-3.

Kamal BA, Anikwe RM, Darawani H, Hashish M, Taha SA. Urethral calculi: presentation and management. BJU Int. 2004;93:549-52.

Gali BM, Ali N, Agbese GO, Garba II, Musa K. Urethral calculi in young-adult Nigerian males: a case series. West Afr J Med. 2011;30:457-60.

Wollin TA, Singal RK, Whelan T. Percutaneous suprapubic cystolithotripsy for treatment of large bladder calculi. J Endourol. 1999;13:739-44.

Ramakrishnan PA, Medhat M, Al-Bulushi YH, Gopakumar KP, Sampige VP, Al-Busaidy SS. Holmium laser cystolithotripsy in children: initial experience. Can J Urol. 2005;12:2880-6.

Ener K, Agras K, Aldemir M, Okulu E, Kayigil O. The randomized comparison of two different endoscopic techniques in the management of large bladder stones: transurethral use of nephroscope or cystoscope? J Endourol. 2009;23:1151-5.

Susco BM, Perlmutter AE, Zaslau S, Kandzari SJ. Female urethral diverticulum containing a calculus: a case report. W V Med J. 2008;104:15-6.

Kolte S, Deshmukh A, Wani B. Megalourethra with calculi. Urol. 2009;74:1129-31.

Ahmed A, Saeed NM. Experience with the management of urethral stones presenting with urinary retention at Gusau. Niger J Clin Pract. 2008;11:309-11.

Akhtar J, Ahmed S, Zamir N. Management of impacted urethral stones in children. J Coll Physicians Surg Pak. 2012;22:510-3.

Toktas G, Sacak V, Erkan E, Kocaaslan R, Demiray M, Unluer E, et al. Novel technique of cytolithotripsy for large bladder stones. Asian J Endosc Surg. 2013;6:245-8.

Sathaye UV. Perurethral endoscopic management of bladder stones: does size matter? J Endourol. 2003;17:511-2.

Ener K, Agras K, Aldemir M, Okulu E, Kayigil O. The randomized comparison of two different endoscopic techniques in the management of large bladder stones: transurethral use of nephroscope or cystoscope? J Endourol. 2009;23:1151-5.

Papatsoris AG, Varkarakis I, Dellis A, Deliveliotis C. Bladder lithiasis: from open surgery to lithotripsy. Urol Res. 2006;34:163-7.

Scales CD, Curtis LH, Norris RD, Springhart WP, Sur RL, Schulman KA, et al. Changing gender prevalence of stone disease. J Urol. 2007;177:979-82.

Novak TE, Trock BJ, Lakshmanan Y, Gearhart JP, Matlaga BR. Gender distribution among pediatric stone formers. J Urol. 2009;181:380-1.