A Giant Dumbbell Shaped Vesico-Prostatic Urethral Calculi
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Giant vesico-prostatic urethral Calculi is uncommon . The decision about treatment strategy of calculi depends upon the size, shape, and position of the calculus and the status of the urethra. If the stone is large and immovable, it may be extracted via the perineal or the suprapubic approach. In most of the previous reported cases, giant calculi were extracted via the transvesical approach and external urethrotomy. A 60-yearold male patient presented with complaints of lower urinary tract symptoms. Further investigations showed a giant vesico-prostatic urethral calculus secondary to stricture of bulbo-membranous part of the urethra. Surgical removal of calculus was done via transvesical approach. Two calculi were found and extracted. One was a huge dumbbell calculus and the other was a smaller round calculus. This case was reported because of the rare size and the dumbbell shape of the stone. Giant urethral calculi are better managed by open surgery.
Authors and Affiliations
Dr. Adarsh kr chauhan, Dr. Manu Gupta, Dr. A. K Mongia, Dr. Piyush Gupta, Dr. Amit Bhatnagar
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