title: [A case of prostatic urethral calculus associated with perineal abscess and urethrocutaneous fistula].
abstract: A 37-year-old male who had sustained a lumbar vertebral fracture presented with the chief complaint of high fever and urine leakage from the perineal region. Computed tomography and urethroscopy showed a huge prostatic urethral calculus. He had a urethrocutaneous fistula in the perineal region. Transvesical prostate-urethrolithotomy, debridement of perineal abscess and cystostomy were performed. After operation, he had total incontinence during clamping of the cystostomy. Four months later, ileal-conduit formation and simple cystectomy were performed to improve urinary management. The pathogenesis of prostatic urethral calculus and the management of neurogenic bladder patients with spinal cord injury are reviewed.
authors.affiliation: The Department of Urology, Tane General Hospital.
authors.forename: Yuta
authors.initials: Y
authors.lastname: Toyoshima
authors.forename: Yukinari
authors.initials: Y
authors.lastname: Hosokawa
authors.forename: Masaya
authors.initials: M
authors.lastname: Hashimura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takada
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Kiyohide
authors.initials: K
authors.lastname: Fujimoto
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Hirao
mesh_terms: D000038:Abscess / Q000150:complications*; D000328:Adult; D017577:Cutaneous Fistula / Q000150:complications*; D006801:Humans; D008297:Male; D010502:Perineum; D011469:Prostatic Diseases / Q000150:complications*; D013119:Spinal Cord Injuries / Q000150:complications; D014522:Urethral Diseases / Q000150:complications*; D014545:Urinary Calculi / Q000150:complications*; D014548:Urinary Fistula / Q000150:complications*