Anastomotic Urethroplasty for an Obstructing Calculus Within a Bulbar Urethral Diverticulum and Urethral Stricture

A 61-year-old male with prior history of endoscopic urethral calculus removal presented to the emergency room with urinary retention and a palpable perineal mass. A CT showed a large calcification within the bulbar urethra. After multiple unsuccessful attempts at foley catheter insertion, the urolog...

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Bibliographic Details
Published inUrology case reports Vol. 10; no. C; pp. 54 - 56
Main Authors Banapour, Pooya, Tenggardjaja, Christopher, Reyblat, Polina
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2017
Elsevier
Subjects
Endourology
Urethral calculus
Urethral diverticulum
Urethral stricture
Urethroplasty
Urethral calculus
Urethral diverticulum
Urethral stricture
Urethroplasty
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Summary:A 61-year-old male with prior history of endoscopic urethral calculus removal presented to the emergency room with urinary retention and a palpable perineal mass. A CT showed a large calcification within the bulbar urethra. After multiple unsuccessful attempts at foley catheter insertion, the urology service was consulted. The patient was taken to the operating room where an obstructing urethral calculus with associated urethral stricture was visualized on cystoscopy. We present an exceedingly rare case of recurrent urethrolithiasis with associated urethral stricture managed with initial suprapubic tube and delayed primary end-to-end urethroplasty, excision of urethral stricture and urethral diverticulectomy.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2016.10.005