哑铃状巨大膀胱结石,延伸至女性尿道。

IF 2.7 Q2 UROLOGY & NEPHROLOGY
Research and Reports in Urology Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI:10.2147/RRU.S523179
Xin Wen
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引用次数: 0

摘要

膀胱结石主要发生在男性中,在女性中的发病率很低。女性尿道结石更为罕见,通常与解剖或病理异常有关。这个病例报告描述了一个巨大的结石从膀胱延伸到尿道,穿过膀胱颈部的女性患者。患者在诊断前有三年的下尿路症状史。她表现为左侧急性肾盂肾炎,双侧肾积水因反流和复发性尿路感染。在我们的医疗中心进行了紧急膀胱造口术以引流尿液,随后进行了开放式膀胱取石术。尿道镜检查显示膀胱颈附近有尿道憩室;然而,患者拒绝憩室切除术。进行了为期五年的随访。本病例报告为诊断和治疗罕见的女性下尿路结石提供了有价值的见解,并附有文献综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Research and Reports in Urology
Research and Reports in Urology UROLOGY & NEPHROLOGY-
CiteScore
3.40
自引率
0.00%
发文量
60
审稿时长
16 weeks
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.
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