Jehangir Khan, Naeem Ahmed, Butt, Muhammad Kashif, Muhammad Bilal Khan, Muhammad Javed Khan,, Zakir Khan

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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.



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