Kirby K A, Upson C
Department of Urology, Cleveland Clinic Florida, Ft. Lauderdale, USA.
J Endourol. 1995 Dec;9(6):457-9. doi: 10.1089/end.1995.9.457.
Ureteral calculi and urinary retention are common problems encountered by the urologist. However, they rarely occur concomitantly. Herein, we describe a case of a 40-year-old female patient who developed urinary retention as a result of ureteral stone disease. Specifically, an ectopic upper pole ureter in a completely duplicated system contained a 2 x 6-cm ureteral stone, which emanated from the orifice, filling the urethra. The stone caused voiding difficulties to the extent that the patient had to manipulate the stone manually in order to void. The stone eventually resulted in urinary retention. Management was accomplished by cystoscopy and electrohydraulic lithotripsy of the stone. Chemical analysis revealed calcium phosphate and struvite as the principal components of the stone.
输尿管结石和尿潴留是泌尿科医生常见的问题。然而，它们很少同时发生。在此，我们描述一例40岁女性患者，因输尿管结石病导致尿潴留。具体而言，在一个完全重复的系统中，异位的上极输尿管中有一颗2×6厘米的输尿管结石，结石从管口发出，充满尿道。结石导致排尿困难，患者不得不手动操作结石才能排尿。结石最终导致尿潴留。通过膀胱镜检查和结石的电液压碎石术进行治疗。化学分析显示磷酸钙和鸟粪石是结石的主要成分。
