Abstract
Study design: Single case report.
Objective: To report a case of urethral obstruction because of calculus in a subject with spinal cord injury (SCI).
Setting: Bangalore, India.
Case report: A 25-year-old man sustained complete SCI at C6 level following a road traffic accident. After 14 months, while on self-intermittent catheterization he noticed difficulty in introducing catheter and acute retention of urine. X-ray examination revealed a calculus in the penile urethra at the level of the glans penis.
Conclusion: Impaction of calculi in penile urethra, although rare, can manifest with acute painless urinary retention in patients with SCI.
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References
Frankel HL et al. Long term survival in spinal cord injury: a fifty-year investigation. Spinal Cord 1998; 36: 266–274.
McKinkley WO, Jackson AB, Cardenas DD, Devivo MJ . Long term medical complications after traumatic spinal injury. Arch Phys Med Rehabil 1999; 80: 1402–1410.
Hemal AK, Sharma SK . Male urethral calculi. Urol Int 1991; 46: 334–337.
Ditunno Jr JF, Young W, Donovan WH, Creasey G . The International Standards Booklet for Neurological and Functional Classification of spinal cord injury. Paraplegia 1994; 32: 70–80.
Vaidyanathan S et al. Recurrent bilateral renal calculi in a tetraplegic patient. Spinal Cord 1998; 36: 454–462.
Perrouin-Verbe et al. Clean intermittent catheterization: long term evaluation of urethral and genital tolerance. Paraplegia 1995; 33: 619–624.
Anand J, Sivaraman Nair KP, Taly AB, Murali T . Spontaneous expulsion of large vesicle calculi in a woman with paraparesis. Spinal Cord 1999; 37: 737–738.
El-Sherif AF, El-Hafi R . Proposed new method for non-operative treatment of urethral stones. J Urol 1991; 146: 1546–1547.
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We thank Ms Manjula Sharman for secretarial assistance and photography section for reproduction of the X-ray.
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Syam, U., Taly, A., Sivaraman Nair, K. et al. Penile urethral obstruction in a subject with spinal cord injury. Spinal Cord 41, 367–368 (2003). https://doi.org/10.1038/sj.sc.3101448
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DOI: https://doi.org/10.1038/sj.sc.3101448
