title: Spontaneous expulsion of large vesicle calculi in a woman with paraparesis.
abstract: BACKGROUND
  Urolithiasis is a common but preventable complication of Spinal Cord Disorders (SCD).
  
  
  METHODS
  We report a 25-year-old woman with paraparesis who spontaneously passed two large calculi perurethra without pain and developed urethral scarring. Detrusor hyperreflexia, absence of sensations and lack of sphincter tone could have contributed to painless expulsion of the large calculi in this patient.
  
  
  CONCLUSIONS
  Dysuria, a prominent symptom of urolithiasis may not be present in subjects with SCD. Awareness about urolithiasis among health professionals involved in the care of SCD patients is necessary for prevention and early intervention.
authors.affiliation: Department of Psychiatric and Neurological Rehabilitation, National Institute of Mental Health and Neurosciences, Bangalore, India.
authors.forename: J
authors.initials: J
authors.lastname: Anand
authors.forename: K P
authors.initials: KP
authors.lastname: Sivaraman Nair
authors.forename: A B
authors.initials: AB
authors.lastname: Taly
authors.forename: T
authors.initials: T
authors.lastname: Murali
mesh_terms: D000328:Adult; D000639:Amitriptyline / Q000008:administration & dosage; D000929:Antidepressive Agents, Tricyclic / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007194:India; D009188:Myelitis, Transverse / Q000150:complications* / Q000503:physiopathology*; D020335:Paraparesis / Q000150:complications* / Q000503:physiopathology*; D026741:Physical Therapy Modalities; D013119:Spinal Cord Injuries / Q000150:complications* / Q000503:physiopathology*; D016896:Treatment Outcome; D001744:Urinary Bladder Calculi / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology*; D001750:Urinary Bladder, Neurogenic / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology*
chemical_list: D000929:Antidepressive Agents, Tricyclic; D000639:Amitriptyline