1/11. Recurrent urethral hairball and stone in a hypospadiac: management and prevention.A 32-year-old perineal hypospadiac man presented with recurrent urethral hair growth, stone, and stricture with a history of multiple urethroplasties. He was treated by urethrolithotomy, internal urethrotomy, laser epilation of the hair-bearing urethral graft, closure of the fistula, and chemical depilation of the neourethral hair. A dilute solution of thioglycolate was prophylactically instilled into the neourethra at intervals of 3 months to ensure complete tricholysis and to prevent recurrent hair growth in the future.- - - - - - - - - - ranking = 1keywords = stricture (Clic here for more details about this article) |
2/11. Iatrogenic injuries of renal pelvis and ureter following open surgery for urolithiasis.OBJECTIVE: To study the types of injuries of renal pelvis and ureter following open surgical procedures for urolithiasis and predisposing factors leading to such injuries and discuss various options for the management of iatrogenic injuries of the renal pelvis and ureter. patients AND METHOD: Case files and available radiographs of the patients who were managed for ureteral and renal pelvic injuries were reviewed. Initial procedure, mode of injury and clinical course were noted. RESULTS: The study consisted of 13 patients (9 males and 4 females). Age of the patients ranged from 18 to 65 years. Eight patients had injuries of renal pelvis or ureteropelvic junction and 5 patients got ureteral injuries. Primary management of ureteral and renal pelvic injuries was successful in 9 patients. Four patients required further surgery. Three out of 4 patients underwent nephrectomy and in 1 patient renal function deteriorated despite secondary pyeloplasty. Among 3 patients who had nephrectomy, one died postoperatively due to sepsis and haemorrhage. CONCLUSION: Injuries of the renal pelvis and ureter have significant morbidity and even mortality. Peroperative recognition of these injuries and appropriate management can prevent the late sequele of these injuries such as stricture formation leading to progressive renal damage.- - - - - - - - - - ranking = 1keywords = stricture (Clic here for more details about this article) |
3/11. Urethral stone presenting as a stop valve--a rare complication of balanitis xerotica obliterans.Balanitis xerotic obliterans (BXO) is the genital subcategory of lichen sclerosis et atrophicus. The association of BXO with urethral stone causing interruption of the urinary stream and voiding by manual displacement of the urethral stone has not been described before. We describe one such case of a young boy with BXO and urethral stone who voided by manually displacing the stone for over a year. The case is reported to emphasize the ingenuity of the patient in continuing to void for over a year despite the association of the impacted urethral stone with urethral stricture and BXO.- - - - - - - - - - ranking = 344.5124322823keywords = urethral stricture, stricture (Clic here for more details about this article) |
4/11. Giant calculus of the posterior urethra following recurrent penile urethral stricture.A case of an unusually large, proximal urethral calculus located very close to the external sphincter and caused by recurrent urethral stricture is presented.- - - - - - - - - - ranking = 1722.5621614115keywords = urethral stricture, stricture (Clic here for more details about this article) |
5/11. Primary giant calculus in urethral diverticulum.Urethral stone is a rare clinical entity and usually encountered in men with urethral stricture or diverticulum. They are exceedingly rare in females secondary to the low incidence of vesical calculi and short urethra. We report a very rare case of a primary giant calculus in a urethral diverticulum of a female.- - - - - - - - - - ranking = 344.5124322823keywords = urethral stricture, stricture (Clic here for more details about this article) |
6/11. Acquired obstructions of the lower urinary tract in children.Acquired obstructions of the lower urinary tract in children are uncommon. They can be divided into intrinsic and extrinsic lesions, and have a very varied etiology. Several illustrative cases are reported, such as traumatic and infectious strictures, meatal stenosis, benign and malignant tumors, fused labia, and epidermolysis bullosa. Many of these lesions have distinct radiographical features, best demonstrated by micturating cystourethrograms.- - - - - - - - - - ranking = 1keywords = stricture (Clic here for more details about this article) |
7/11. Treatment of male urethral calculi.We treated 14 male patients for urethral stones during a 17-year interval. The calculi were located in the posterior urethra in 7 patients and in the anterior urethra in 7. Anatomical alteration of the lower urinary tract was an important predisposing factor, since 11 patients had history of bladder and urethral surgery or disease, 2 had an associated neurogenic bladder, 6 had urethral strictures or diverticula and 3 had concomitant bladder stones. Urethroplasty was performed in 5 cases, surgical removal of the stone in 3, retrograde manipulation inside the bladder in 4 and electrohydraulic endourethral lithotripsy in 2. The latter technique appears to be particularly effective for endoscopically accessible stones.- - - - - - - - - - ranking = 344.5124322823keywords = urethral stricture, stricture (Clic here for more details about this article) |
8/11. Ureteral strictures following ureterolithotomy.Ureteral strictures occurring after ureterolithotomy may not be recognized until obstruction or recurrent stone impaction occurs in the area. We describe our treatment of this problem in 9 patients. Management varied from conservative treatment in patients having no discernible renal function on the affected side to various forms of reconstruction or reimplantation, depending upon the situation and site of the stricture. All patients were followed for a minimum of 2 years without complications. The etiopathogenesis and other methods of treatment available for this problem are discussed.- - - - - - - - - - ranking = 6keywords = stricture (Clic here for more details about this article) |
9/11. Giant urethral calculus: a rare cause of acute urinary retention.We present a case of a 98-yr-old woman with acute urinary retention secondary to a large urethral calculus. This is a unique cause of obstructive uropathy for several reasons. First, urethral calculi are extremely rare in American-born Caucasian females. Second, urethral stones in females are nearly always associated with underlying genitourinary pathology; however, subsequent work up failed to reveal any strictures, diverticula, or related processes that may have predisposed this patient to urethral calculus formation. The epidemiology, pathogenesis, clinical presentation, and emergency management of large urethral calculi are reviewed.- - - - - - - - - - ranking = 1keywords = stricture (Clic here for more details about this article) |
10/11. A case of primary giant calculus in female urethra.Urinary calculus is rarely seen in the urethra and is usually encountered in men with urethral stricture or diverticulum. Primary urethral calculi are extremely rare in females. We describe a case of a giant urethral stone impacted in the urethra of a 103-year-old female.- - - - - - - - - - ranking = 344.5124322823keywords = urethral stricture, stricture (Clic here for more details about this article) |
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