El Omri Ghassane, Taghouan Anas, Rais Hamza, Younes Houry, Rachid Moussaab, Heddat Abdeljalil
Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco.
Clin Med Insights Case Rep. 2024 Aug 20;17:11795476241274690. doi: 10.1177/11795476241274690. eCollection 2024.
Urethral calculi causing acute urinary retention is a highly uncommon condition in women, which poses distinctive difficulties in diagnosis and treatment. This report presents the case of a 52-year-old woman who experienced acute urinary retention caused by a urethral stone. It emphasizes the effective use of minimally invasive methods and underscores the importance of comprehensive multidisciplinary treatment.
A 52-year-old woman patient arrived with acute urinary retention symptoms that lasted 6 hours. She complained of pain in the perineal and periurethral regions. She struggled with poorly managed type 2 diabetes, metabolic syndrome, and frequent cystitis. The examination showed the presence of a 2-cm stone in the urethra. The treatment utilised retrograde propulsion and laser fragmentation. Postoperative magnetic resonance imaging results were normal, and follow-up care involved managing diabetes and adopting lifestyle changes to prevent the recurrence of cystitis and stones for 6 months.
Urethral calculi exceptionally cause acute urinary retention in women. To achieve successful outcomes and prevent recurrence, it is crucial to prioritize prompt, minimally invasive treatment, and comprehensive management.
尿道结石导致急性尿潴留在女性中是一种极为罕见的病症，在诊断和治疗方面存在独特的困难。本报告介绍了一名52岁女性因尿道结石导致急性尿潴留的病例。它强调了微创方法的有效应用，并突出了多学科综合治疗的重要性。
一名52岁女性患者因急性尿潴留症状前来就诊，症状持续了6小时。她主诉会阴部和尿道周围区域疼痛。她患有控制不佳的2型糖尿病、代谢综合征和频繁的膀胱炎。检查显示尿道中有一颗2厘米的结石。治疗采用了逆行推进和激光碎石术。术后磁共振成像结果正常，后续护理包括控制糖尿病以及采取生活方式改变措施，以预防膀胱炎和结石复发，为期6个月。
尿道结石极少会导致女性急性尿潴留。为取得成功的治疗效果并预防复发，迅速进行微创治疗和综合管理至关重要。
