{"title":"哑铃状巨大膀胱结石,延伸至女性尿道。","authors":"Xin Wen","doi":"10.2147/RRU.S523179","DOIUrl":null,"url":null,"abstract":"<p><p>Bladder calculi occur predominantly in men, and their incidence is very low in females. Female urethral calculi are even rarer and are usually associated with anatomical or pathological abnormalities. This case report describes a female patient with a giant calculus extending from the urinary bladder into the urethra, crossing the bladder neck. The patient had a three-year history of lower urinary tract symptoms before diagnosis. She was presented with acute pyelonephritis on the left side, bilateral hydronephrosis due to reflux, and recurrent urinary tract infections. An emergency cystostomy was performed at our medical center for urinary drainage, followed by open cystolithotomy. Urethroscopy revealed a urethral diverticulum near the bladder neck; however, the patient declined diverticulum resection. A five-year follow-up was conducted. This case report provides valuable insights into diagnosing and treating rare lower urinary tract calculi in females, accompanied by a literature review.</p>","PeriodicalId":21008,"journal":{"name":"Research and Reports in Urology","volume":"17 ","pages":"287-291"},"PeriodicalIF":2.7000,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356206/pdf/","citationCount":"0","resultStr":"{\"title\":\"Dumbbell-Shaped Giant Vesical Calculus Extending into the Urethra in a Female.\",\"authors\":\"Xin Wen\",\"doi\":\"10.2147/RRU.S523179\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Bladder calculi occur predominantly in men, and their incidence is very low in females. Female urethral calculi are even rarer and are usually associated with anatomical or pathological abnormalities. This case report describes a female patient with a giant calculus extending from the urinary bladder into the urethra, crossing the bladder neck. The patient had a three-year history of lower urinary tract symptoms before diagnosis. She was presented with acute pyelonephritis on the left side, bilateral hydronephrosis due to reflux, and recurrent urinary tract infections. An emergency cystostomy was performed at our medical center for urinary drainage, followed by open cystolithotomy. Urethroscopy revealed a urethral diverticulum near the bladder neck; however, the patient declined diverticulum resection. A five-year follow-up was conducted. This case report provides valuable insights into diagnosing and treating rare lower urinary tract calculi in females, accompanied by a literature review.</p>\",\"PeriodicalId\":21008,\"journal\":{\"name\":\"Research and Reports in Urology\",\"volume\":\"17 \",\"pages\":\"287-291\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-08-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356206/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research and Reports in Urology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/RRU.S523179\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research and Reports in Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/RRU.S523179","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Dumbbell-Shaped Giant Vesical Calculus Extending into the Urethra in a Female.
Bladder calculi occur predominantly in men, and their incidence is very low in females. Female urethral calculi are even rarer and are usually associated with anatomical or pathological abnormalities. This case report describes a female patient with a giant calculus extending from the urinary bladder into the urethra, crossing the bladder neck. The patient had a three-year history of lower urinary tract symptoms before diagnosis. She was presented with acute pyelonephritis on the left side, bilateral hydronephrosis due to reflux, and recurrent urinary tract infections. An emergency cystostomy was performed at our medical center for urinary drainage, followed by open cystolithotomy. Urethroscopy revealed a urethral diverticulum near the bladder neck; however, the patient declined diverticulum resection. A five-year follow-up was conducted. This case report provides valuable insights into diagnosing and treating rare lower urinary tract calculi in females, accompanied by a literature review.
期刊介绍:
Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.