Urethral steinstrasse

Case contributed by Vaite Tsing

Presentation

Urinary retention and dysuria 4 weeks following laser litholapaxy of a 4 cm bladder stone

Patient Data

Age: 30 years
Gender: Male
x_ray

Multiple stones in the urethra forming a steinstrasse, also multiple bladder stone fragments remaining in the bladder.

Case Discussion

Steinstrasse or "stone street" are typically found in the ureter following ESWL. Steinstrasse within the urethra is exceedingly rare and in this case is associated with distal urethral stricture disease, presenting a month after laser cystolitholapaxy, where stone fragments were insufficiently cleared from the bladder during the procedure.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.