Ultrasonic fragmentation in the treatment of male urethral calculi.
In the last 8 months, 7 patients have presented with acute retention of urine due to impacted urethral stones. Four stones were in the posterior urethra, 2 in the penile urethra and 1 proximal to the external urethral meatus. The patients were managed as emergencies. Stone fragmentation by ultrasound (US) through a 24F obliquely offset eyepiece nephroscope was achieved with minimal urethral trauma. Follow-up was for 6 months and no evidence of urethral stricture or recurrent stones was found. It was concluded that US fragmentation of urethral calculi is a safe and efficient procedure with minimal complications when used in the management of impacted urethral stones.
Durazi
M H
MH
Department of Surgery, Salmaniya Medical Centre, Bahrain, Arabian Gulf.
Samiei
M R
MR
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D014522:Urethral Diseases / Q000628:therapy*; D014545:Urinary Calculi / Q000628:therapy*