Transrectal ultrasound-guided extraction of impacted prostatic urethral calculi: a simple alternative to endoscopy
نویسندگان
چکیده
Urethral stones can become impacted in the posterior urethra, typically presenting with varying degrees of acute urinary retention and lower urinary tract symptoms. These are traditionally treated in the inpatient setting, with external urethrotomy or endoscopic push-back of the calculus into the urinary bladder followed by cystolitholapaxy or cystolithotripsy. However, these methods are invasive, involve general anesthesia, and require radiation. In this report, we describe a simple, minimally invasive, and safe alternative technique to visualize and remove impacted prostatic urethral stones under the real-time guidance of transrectal ultrasonography (TRUS). The urologist can accomplish this procedure in the office, avoiding radiation exposure to the patient and hospital admission.
منابع مشابه
Transrectal voiding sonourethrography for diagnosis of a prostatic urethral calculus.
bstructive uropathy is a common clinical problem, and urethral calculi constitute the least common form of calculous disease leading to obstructive uropathy. Urethral calculi may originate anywhere in the urinary tract, usually the bladder, and then migrate to the urethra. The clinical presentation is variable. Patients may have acute retention, dysuria, or a weak urine stream.1 Sonography is a...
متن کاملProstate calculi can higher urinary retention probability and worsen uncomfortable feeling after prostate biopsy but not predict cancer.
To investigate whether prostatic calculi might influence the urinary retention (UR) probability, the quality of life (QOL) and the positive rate of cancer after prostate biopsy in middle-aged and old male with PSA higher than normal. This study comprised a retrospective analysis of data from 685 patients (prostatic calculi group 325 VS non-prostatic calculi group 360), those who had undergone t...
متن کاملI-2: Comparison of Transrectal Ultrasonography
Background: To compare transrectal ultrasonography (TRUS) and TRUS-guided seminal vesicle aspiration in the diagnosis of ejaculatory duct obstruction (EDO). comparing the findings of TRUS and TRUS-guided seminal vesicle (SV) aspiration. Materials and Methods: Design: A retrospective case-controlled study comparing the findings of TRUS and TRUS-guided seminal vesicle (SV) aspiration. Setting: Cl...
متن کاملThe Case of an Obstructed Stone at the Distal Urethra
This report highlights a presentation of urinary calculus impacted at the urethral meatus and bedside extraction after evaluation with point-of-care ultrasound (POCUS). Visualization of a stone at the urethral meatus prompted a point-of-care ultrasound of the penile shaft and glans. The ultrasound ruled out anatomic variations such as urethral diverticula and as a result bedside removal was exp...
متن کاملTransurethral Drainage of Prostatic Abscess: Points of Technique
BACKGROUND The incidence of prostatic abscess (PA) has markedly declined with the widespread use of antibiotics and the decreasing incidence of urethral gonococcal infections. OBJECTIVES To evaluate different treatment methods for prostatic abscess and to describe technical points that will improve the outcome of transurethral (TUR) drainage of prostatic abscess. PATIENTS AND METHODS We per...
متن کامل