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A stone down below: a urethral stone causing acute urinary retention and renal failure

Published online by Cambridge University Press:  21 May 2015

Hanna Bielawska  and
Norman L. Epstein
Hanna Bielawska*
Affiliation:
Emergency Department, Credit Valley Hospital, Mississauga, Ont.
Norman L. Epstein
Affiliation:
Emergency Department, Credit Valley Hospital, Mississauga, Ont.
*
Emergency Department, Credit Valley Hospital, 2200 Eglinton Ave. W., Mississauga ON L5M 2N1; [email protected]

Abstract

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Impaction of a kidney stone in the male urethra is a rare sequela of an otherwise common disease process. Case reports of urethral stones in the recent literature are scarce. We report a case of a 48-year-old man who presented with an impacted urethral stone as a complication of nephrolithiasis. The pathology was twice missed, even with computed tomography showing the stone in the prostatic urethra, which highlights the challenges of making this diagnosis. We review the existing literature outlining the pathogenesis, clinical features and therapeutic considerations as they relate to urethral stones. We underscore the role of the emergency physician in the diagnosis and initial management of this entity, and draw attention to the need to evaluate not just the upper but also the lower genitourinary tracts when interpreting computed tomographic images obtained for the diagnosis of renal colic.

Keywords

renal colicurethral stonecomputed tomographic urography
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 12 , Issue 4 , July 2010 , pp. 377 - 380
Copyright
Copyright © Canadian Association of Emergency Physicians 2010

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