Abstract

Aim: To find out clinical presentation, site of obstruction and outcome of surgical intervention of obstructive urethral stone patients.

Study design: Retrospective study.

Place and Duration: Department of Urology Khairpur Medical College Hospital Khairpur Mir’s Sindh from 1st December 2014 to 31st December 2016.

Methods: Sixty two obstructive urethral stones patients were treated in the department of urology Khairpur Medical College Hospital (KMCH) Khairpur Mir’s Sindh. The patient’s age was between 2 to 35 years. Surgical procedures like removal of stone from external urethral meatus (stone retrieval) with or without meatotomy, retrograde manipulation (push back) and then cystolithoclast or cystolitholapaxy according to site and size of obstructive of urethral stone were used.

Results: The mean age was 17±12.56 years with 60 (96.7%) were males while 2 (3.3%) females. Ten male children had stone at external urethral meatus and 15 boys had stone in proximal urethra (prostatic and membranous) and bulbar urethral. Fifteen adult patients had stone at external urethral meatus.

Conclusion: Endoscopic treatment is currently best option for management of obstructive urethral stones but some cases require additional simple procedure like meatotomy.

Keywords: Obstructive urethral stones, Management, Outcome, Surgical intervention