Multiple urethral calculus misdiagnosed as urethral stricture: The role of imaging in unknotting the confusion

Urinary Tract Calculi Impaction / finding in the male urethra is extremely uncommon and can usually be secondary to upper urinary tract calculus formation or primarily arising from the urethra either due to stricture or post-trauma. There is paucity of urethral stricture report in Nigeria, thus this case is reported to highlight the role of imaging in the prompt diagnosis and management of urethral diseases; and to advise urologists to at least always request for imaging modality in their routine evaluation of urethral pathologies. We report a case of a 55 years old male farmer who presented in the Accident and Emergency Unit of our facility with signs and symptoms of acute urinary retention. A working diagnosis of urethral stricture was entertained and prompt diagnosis was made on image. Existing literatures outlining the pathologies, clinical presentation, therapeutic consideration and imaging as it relates to urethral calculi were reviewed. We thus concluded that imaging is very vital and fundamental in order to correctly assess any form of urethral pathology.Asian Journal of Medical Sciences Vol. 7(3) 2016 118-120

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A Giant Urethral Calculus

Journal of Nepal Medical Association ◽

10.31729/jnma.2720 ◽

1970 ◽

Vol 52 (195) ◽

pp. 940-942 ◽

Cited By ~ 1

Author(s):

Ghanshyam Sigdel ◽

Aman Agarwal ◽

Belokar Wasant Keshaw

Keyword(s):

Urinary Tract ◽

Urinary Bladder ◽

Male Patient ◽

Urethral Stricture ◽

Upper Urinary Tract ◽

Urethral Calculus ◽

Posterior Urethra ◽

Acute Retention

Urethral calculi are rare forms of urolithiasis. Majority of the calculi are migratory from urinary bladder or upper urinary tract. Primary urethral calculi usually occur in presence of urethral stricture or diverticulum. In this article we report a case of a giant posterior urethral calculus measuring 7x3x2 cm in a 47 years old male. Patient presented with acute retention of urine which was preceded by burning micturition and dribbling of urine for one week. The calculus was pushed in to the bladder through the cystoscope and was removed by suprapubic cystolithotomy. Keywords: giant urethral calculus; posterior urethra.

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Nutritional Optic Neuropathies: State of the Art and Emerging Evidences

Nutrients ◽

10.3390/nu12092653 ◽

2020 ◽

Vol 12 (9) ◽

pp. 2653

Author(s):

Matilde Roda ◽

Natalie di Geronimo ◽

Marco Pellegrini ◽

Costantino Schiavi

Keyword(s):

Bariatric Surgery ◽

Optic Neuropathy ◽

Multidisciplinary Approach ◽

State Of The Art ◽

Signs And Symptoms ◽

Therapeutic Strategies ◽

Scientific Interest ◽

Optic Nerve Atrophy ◽

Prompt Diagnosis

Nutritional optic neuropathy is a cause of bilateral, symmetrical, and progressive visual impairment with loss of central visual acuity and contrast sensitivity, dyschromatopsia, and a central or centrocecal scotoma. The clinical features are not pathognomonic, since hereditary and toxic forms share similar signs and symptoms. It is becoming increasingly common due to the widespread of bariatric surgery and strict vegetarian or vegan diets, so even the scientific interest has recently increased. In particular, recent studies have focused on possible pathogenetic mechanisms, and on novel diagnostic and therapeutic strategies in order to prevent the onset, make a prompt diagnosis and an accurate nutritional supplementation, and to avoid irreversible optic nerve atrophy. Nowadays, there is clear evidence of the role of cobalamin, folic acid, thiamine, and copper, whereas further studies are needed to define the role of niacin, riboflavin, and pyridoxine. This review aims to summarize the etiology, diagnosis, and treatment of nutritional optic neuropathy, and it is addressed not only to ophthalmologists, but to all physicians who could come in contact with a patient with a possible nutritional optic neuropathy, being a fundamental multidisciplinary approach.

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