Impacted calculus in prostatic urethra

Case contributed by Dr Archana Ahire

Presentation

The patient presented with inability to pass urine for last 18 hours - suggestive of acute urinary retention. No history of abdominal pain, haematuria or trauma.

Patient Data

Age: 58 years
Gender: Male
Ultrasound

Transrectal ultrasound

Transrectal ultrasound study shows echogenic calculus in the prostatic urethra with distal acoustic shadowing. The proximal portion of the urethra is dilated. The calculus measures 6 x 6 x 9 mm. 

Case Discussion

Urethral calculi are most frequently found in the prostatic urethra which is more distensible than the distal narrow membranous portion. These are either native - formed in the prostatic urethra or migrated from the upper urinary tract.

The patients with urethral calculi may be completely asymptomatic or may have symptoms of varying severity ranging from haematuria, burning sensation in the urethra on urination, interruption of the urinary stream, pain to acute urinary retention. 

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Case information

rID: 25670
Case created: 2nd Nov 2013
Last edited: 27th Oct 2015
System: Urogenital
Inclusion in quiz mode: Included

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