Abstract

Urinary calculi are the third most common affliction of the urinary tract only exceeded by urinary tract infections and pathologies of the prostate gland. Urinary tract calculi contribute to a major concern encountered in the practice of urology, it affects about 10-12% of the population with a variable incidence with respect to sex, age, occupation, geographical area, climate, dietary fluid intake, social class and race. Urethral calculus is always found on the site of prostatic urethra, bulbar and fossa navicularis. Primary urethral calculi are usually associated with urethral strictures, posterior urethral valve and a diverticulum. Urethral calculi represent 1-2% of all calculi in the urinary tract. This is a case of a 32-year-old farmer and fisherman who had a retrograde urethrocystography (RUCG) that showed an obstructive prostatic calculus, bladder wall calcification and thickening with contrast refluxing into the seminal vesicles bilaterally.

Highlights

  • Urinary tract calculi contribute to a major concern encountered in the practice of urology, it affects about 10-12% of the population with a variable incidence with respect to sex, age, occupation, geographical area, climate, dietary fluid intake, social class and race

  • Urinary tract calculi contribute to a major concern encountered in the practice of urology, it affects about 10-12% of the population with a variable incidence with respect to sex, age, occupation, geographical area, climate, dietary fluid intake, social class and race [1,2,3,4]

  • The index patient was a confirmed case of Schistosomiasis which is believed to have caused the urethral strictures predisposing to the prostatic calculus

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Summary

Introduction

Urinary tract calculi contribute to a major concern encountered in the practice of urology, it affects about 10-12% of the population with a variable incidence with respect to sex, age, occupation, geographical area, climate, dietary fluid intake, social class and race [1,2,3,4]. Primary urethral calculi are usually associated with urethral strictures, posterior urethral valve and a diverticulum. Vesico-Urethral Stones: these calculi are located partly in the urinary bladder and partly in the posterior urethra. Symptomatic prostatic urethral calculus often require treatment, this basically entail surgical removal following transurethral electro-resection loop or holmium laser [16]. This is a case of a 32-year-old farmer and fisherman who presented with dysuria, frequency, terminal hematuria, reduced urinary volume, urethral discharge, feeling of a hard mass in the perineum and poor ejaculation for almost 2 years duration. We report the radiological findings of this case due to its peculiarity in the practice of radiology and urology

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