Telli Onur, Gollu Gulnur, Khanmammadov Farid, Tastekin Nil Yasam, Aktug Tanju
Department of Pediatric Urology, School of Medicine, Ankara University, Ankara, Turkey.
Department of Pediatric Surgery, School of Medicine, Ankara University, Ankara, Turkey.
Urology. 2015 Aug;86(2):373-5. doi: 10.1016/j.urology.2015.04.032. Epub 2015 Jul 18.
Urethral calculi are extremely rare in pediatric population and are usually presented with dysuria, hematuria, lower urinary tract obstruction, and rarely as a scrotal mass. We here report a giant primary urethral stone presenting as a scrotal mass that developed in the penile urethra resulting from a postsurgical complication of exstrophy-epispadias repair. A 7-year-old boy was admitted with the complaint of scrotal mass and dysuria. Computerized tomography confirmed giant urethral stone impacted to diverticulum of urethra. Cystoscopy revealed a nonobstructed stone in the urethra related to a posterior diverticulum. After scrotal incision, stone was removed with open diverticulectomy.
尿道结石在儿科人群中极为罕见，通常表现为排尿困难、血尿、下尿路梗阻，很少表现为阴囊肿物。我们在此报告一例巨大原发性尿道结石，表现为阴囊肿物，该结石在膀胱外翻-尿道上裂修复术后并发症导致的阴茎尿道中形成。一名7岁男孩因阴囊肿物和排尿困难入院。计算机断层扫描证实巨大尿道结石嵌顿于尿道憩室。膀胱镜检查显示尿道内与后尿道憩室相关的无梗阻结石。经阴囊切口后，通过开放性憩室切除术取出结石。
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