24 April 2008
Urethral calculus after radical prostatectomy: the importance of urethroscopy in evaluation of voiding disturbance
Michael K Ng, Nathan Lawrentschuk, Andrew TroyAm J Case Rep 2008; 9:237-239 :: ID: 855035
Abstract
Background: Urethral calculi are uncommon, and are generally a result of proximal calculi migrating distally. There are only 3 prior reports of intravesical calculi forming on sutures post radical prostatectomy, causing voiding disturbance.
Case Report: A 49-year-old man presents 8 months after radical retropubic prostatectomy with voiding disturbance, initially assumed to be secondary to anastamotic stricture. On further examination, an ovoid mass was found at the level of the glans. Subsequent urethroscopy revealed an impacted urethral calculus to be the cause of the voiding disturbance. There was no evidence of stricture or foreign material at the anastamotic site. Examination of the urethra did not reveal any anatomic abnormality to suggest de novo formation of urethral calculus. Voiding pattern returned to normal after removal of the calculus.
Conclusions: Proper history and examination must be performed prior to every surgical procedure being undertaken, with urethroscopy an important diagnostic tool in the investigation of voiding disturbance post radical prostatectomy. Although anastamotic stricture is a common cause of voiding disturbance post radical prostatectomy, other rare causes do exist and must be kept in mind.
Keywords: radical prostatectomy, Urethra, calculus
In Press
21 Mar 2024 : Case report
Chlamydia psittaci Pneumonia: Diagnosis, Treatment, and Challenges in the Context of COVID-19Am J Case Rep In Press; DOI: 10.12659/AJCR.942921
22 Mar 2024 : Case report
Sleep Disorders and Traffic Accidents: Unveiling the Hidden RisksAm J Case Rep In Press; DOI: 10.12659/AJCR.943346
24 Mar 2024 : Case report
Uncommon Combination of Hemoglobin Jax and Hemoglobin Constant Spring Leading to Microcytic AnemiaAm J Case Rep In Press; DOI: 10.12659/AJCR.943560
26 Mar 2024 : Case report
Intrabiliary Rupture of a Hepatic Hydatid Cyst: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.943893
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250