An Audit of Stuck Urethral Calculus in Paediatric Age Group Presenting at Bacha Khan Medical Complex
Jehangir Khan, Naeem Ahmed, Butt, Muhammad Kashif, Muhammad Bilal Khan, Muhammad Javed Khan,, Zakir Khan
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ABSTRACT
Background: Pain
secondary to urine outflow obstruction is described one of most severe pain in
humans. Impacted urethral calculus is one of common cause of urine outflow
obstruction. Data on urethral calculus in paediatric population is sparse,
Aim: To address
this and present our experience with minimal invasive technique for management
of urethral calculus.
Method: This
study was conducted in Pediatric Surgery Unit Bacha Khan Medical Complex from
December 2017 to November 2019. Patient aged less than 14 year with diagnosis
of urethral calculus were included in this prospectively.
Results:
During this study period 34 patients were treated for urethral calculus. In
this study 33 (97%) were male patients while only 1 (3%) female patient had
urethral obstruction. Most of the patients 13 (38%) were in the age from 5-8
years. Endoscopic facilities were available so the stone which were stuck in
bulbous or posterior urethra were pushed back endoscopically and were then
broken into small fragments with pneumatic lithoclast.
Conclusion:
Significant patients presents with urethral obstruction secondary to impacted
stone. A methodical approach for treatment of urethral stone should be adopted,
with treatment for each urethral stone separately based on its location, shape
and size. With minimally invasive surgery complications of urethrolithotomy can
be avoided by avoiding the procedure.
Keywords: Urethral
calculus, Impacted children, Treatment, Pushback, Cystourethroscopy.
ABSTRACT
Background: Pain
secondary to urine outflow obstruction is described one of most severe pain in
humans. Impacted urethral calculus is one of common cause of urine outflow
obstruction. Data on urethral calculus in paediatric population is sparse,
Aim: To address
this and present our experience with minimal invasive technique for management
of urethral calculus.
Method: This
study was conducted in Pediatric Surgery Unit Bacha Khan Medical Complex from
December 2017 to November 2019. Patient aged less than 14 year with diagnosis
of urethral calculus were included in this prospectively.
Results:
During this study period 34 patients were treated for urethral calculus. In
this study 33 (97%) were male patients while only 1 (3%) female patient had
urethral obstruction. Most of the patients 13 (38%) were in the age from 5-8
years. Endoscopic facilities were available so the stone which were stuck in
bulbous or posterior urethra were pushed back endoscopically and were then
broken into small fragments with pneumatic lithoclast.
Conclusion:
Significant patients presents with urethral obstruction secondary to impacted
stone. A methodical approach for treatment of urethral stone should be adopted,
with treatment for each urethral stone separately based on its location, shape
and size. With minimally invasive surgery complications of urethrolithotomy can
be avoided by avoiding the procedure.
Keywords: Urethral
calculus, Impacted children, Treatment, Pushback, Cystourethroscopy.