Department of Urology, Liaocheng People's Hospital, Liaocheng, Shandong, China.
Liaocheng Food and Drug Administration, Liaocheng, Shandong, China.
BMC Urol. 2019 Jul 29;19(1):71. doi: 10.1186/s12894-019-0498-9.
In this case report, giant calculus in the urethral diverticulum was found through ureteroscopy investigation, the pneumatic lithotripsy combined with ultrasound lithotripsy (PLCUL) was successfully performed to break down this rare and giant urethral calculus in the diverticulum without open surgery.
A 82-year-old male presented to the urology department, complaining of frequent urination and dysuria. One giant, dark brown stone (6.5 × 6 × 5.5 cm) was revealed in the diverticulum of the anterior urethra using combination of local ultrasound, pelvic Computer Tomography (CT) and Magnetic Resonance Imaging (MRI). The stone was then successfully broken down via the PLCUL, and the emptied anterior urethral diverticulum was left untreated. In the 18 months' follow-up, no new calculus was found in urethral tract, anterior diverticula became gradually smaller, eventually disappeared.
In the treatment of giant calculus in the urethral diverticulum, this case report provides an effective method of lithotripsy in the clinical trials.
本病例报告通过输尿管镜检查发现尿道憩室中的巨大结石，采用气压弹道碎石联合超声碎石（PLCUL）成功治疗了这种罕见的巨大憩室内尿道结石，避免了开放性手术。
一位 82 岁男性因尿频和尿痛就诊于泌尿科。局部超声、骨盆计算机断层扫描（CT）和磁共振成像（MRI）显示，在前尿道憩室内有一个巨大的暗褐色结石（6.5×6×5.5cm）。然后通过 PLCUL 成功将结石粉碎，排空的前尿道憩室未作进一步处理。18 个月随访期间，尿道内未发现新结石，前憩室逐渐缩小，最终消失。
在尿道憩室巨大结石的治疗中，本病例报告为临床提供了一种有效的碎石方法。
