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Vol. 36. Issue 2.
Pages 75-78 (February 2012)
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Vol. 36. Issue 2.
Pages 75-78 (February 2012)
Original article
Acute urinary retention in young adult and middle-aged males due to calculi in the urethra: A single centre experience from North India
Retención urinaria aguda en varones jóvenes y de mediana edad debida a cálculos en la uretra: una experiencia de un sólo centro del norte de India
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V. Singh, R.J. Sinha
Corresponding author
Departamento de Urología, CSMMU (Universidad de Medicina Chhatrapati Shahuji Maharaj) (anteriormente Universidad de Medicina King George's [KGMU]), Lucknow, Uttar Pradesh, India
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Table 1. Operative procedures for stone removal.
Abstract
Objective

To present our experience of managing acute urinary retention (AUR) in young and middle-aged male due to stone/s in the urethra at a tertiary care centre.

Material and methods

Between July 2004 and April 2011, 102 male patients, young and middle-aged (18–40 years), who suffered from AUR due to calculus in the urethra were managed at our center. Initial management consisted of urethral catheterization or suprapubic trocar cystostomy. Definitive management was performed immediately or after a couple of days depending upon the availability of anesthesia and/or operation theatre. Stone was fragmented by mechanical lithotrite, pneumatic lithotrite or holmium:YAG laser.

Results

All the patients were completely free of their stone/s following the definitive procedure. Voiding trial was successful in all the cases. Postoperative urinary tract infection was observed in eight patients who had undergone immediate endoscopic management. Mild hematuria for approximately 48h was noted in six patients who underwent suprapubic cystolithotripsy.

Conclusion

Endoscopic management is currently the treatment of choice for stone/s in the urethra which may cause AUR in young and middle-aged males.

Keywords:
Urethra
Urinary calculi
Urinary retention
Young adult
Middle aged
Male
Resumen
Objetivo

Presentar nuestra experiencia en el tratamiento de la retención urinaria aguda (RUA) en hombres jóvenes y de mediana edad, debido a piedra/s en la uretra en un centro de atención terciaria.

Material y métodos

Entre julio de 2004 y abril de 2011, se trató a 102 pacientes varones jóvenes y de mediana edad (18-40 años) que presentaban RUA debido a un cálculo en la uretra en nuestro centro. El tratamiento inicial consistió en la cateterización uretral o cistostomía suprapúbica con trocar. El tratamiento definitivo se realizó inmediatamente o después de un par de días en función de la disponibilidad de la anestesia y/o quirófano. La piedra se fragmentó con litotrito mecánico, litotrito neumático u holmio: láser YAG.

Resultados

Todos los pacientes quedaron totalmente libres de sus piedra/s siguiendo el procedimiento definitivo. En todos los casos se consiguió micción espontánea. La infección post-operatoria del tracto urinario se observó en 8 pacientes que habían recibido tratamiento endoscópico inmediato. Se observó hematuria leve durante aproximadamente 48 h en 6 pacientes que recibieron cistolitotricia suprapúbica.

Conclusión

El tratamiento endoscópico es actualmente la elección para piedra/s en la uretra que puede/n causar RUA en varones jóvenes y de mediana edad.

Palabras clave:
Uretra
Cálculos urinarios
Retención urinaria
Joven
Mediana edad
Varón

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