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Sep 25, 2023Keywords:
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Use of Mauermayer stone punch to treat posterior urethral diverticula calculus in a patient with multiple congenital anomalies of urinary tract
Abstract
Background: Posterior urethral diverticulum calculus (PUD-C) is a rare urethral lesion that can pose as a diagnostic dilemma and in instances laborious to treat.
Objectives: To report a rare case of posterior urethral diverticulum calculus (PUD-C) treated by the use of Mauermayer stone punch in a patient with double ureter , mal-development of the prostate and chronic viral hepatitis.
Case: A 37year old male, who presented with a year history of bothersome Lower urinary tract symptoms (LUTS) with episodes of purulent urethral discharge. His posterior urethral diverticulum calculus (PUD-C) was confirmed at urethrocystoscopy alongside maldeveloped prostate, hanging verumontanum, urinary bladder trabeculations, and sacculations. He had urethrolitholapaxy using Mauermayer stone punch with a concurrent alleviation of the LUTS.
Conclusion: The pertinent publications on the clinical features, treatment, and the outcome of PUDC were reviewed. Utilization of Mauermayer stone punch for PUDC urethrolitholapaxy is a novel treatment technique. It, however, alleviated the bothersome lower urinary tract symptoms and granted a satisfactory outcome in the index patient.
