Urethral Stone Associated With Posterior Urethral Valve -A Rare Finding
AbstractA 1yr 5 month old male was referred to our unit with the complaint of acute urinary retention for 3 days. The diagnosis by the referring paediatrician was posterior urethral valve (PUV).
Examination revealed a hard mass in the posterior urethra. Intravenous urography with micturating cystourethrogram confirmed PUV.
Urethral catheterization failed and a suprapubic cystostomy was made to drain urine and establish continuous drainage.
Two days later the hard mass initially felt in the posterior urethra appeared in the urethral meatus and was extracted under sedation. It turned out to be a urethral stone measuring about 4mm in its widest diameter.
Impacted urethral stone co-existing with PUV is rare. A high index of suspicion as well as advanced imaging techniques are needed to make the diagnosis.
Key Words: Urethral stone, posterior urethral valve
Orient Journal of Medicine Vol.15(3&4) 2003: 51-53