Etiology and management of urethral calculi:A systematic review of contemporary series  

作　　者：Andrew Morton Arsalan Tariq Nigel Dunglison Rachel Esler Matthew J.Roberts 

机构地区：[1]Faculty of Medicine,The University of Queensland,Brisbane,Queensland,Australia [2]Department of Urology,Ipswich Hospital,Queensland,Australia [3]Department of Urology,Royal Brisbane and Women's Hospital,Queensland,Australia [4]The University of Queensland Centre for Clinical Research,Herston,Australia

出　　处：《Asian Journal of Urology》2024年第1期10-18,共9页亚洲泌尿外科杂志（英文）

摘　　要：Objective:To conduct a systematic literature review on urethral calculi in a contemporary cohort describing etiology,investigation,and management patterns.Methods:A systematic search of MEDLINE and Cochrane Central Register of Controlled Trials(CENTRAL)databases was performed.Articles,including case reports and case series on urethral calculi published between January 2000 and December 2019,were included.Full-text manuscripts were reviewed for clinical parameters including symptomatology,etiology,medical history,investigations,treatment,and outcomes.Data were collated and analyzed with univariate methods.Results:Seventy-four publications met inclusion criteria,reporting on 95 cases.Voiding symptoms(41.1%),pain(40.0%),and acute urinary retention(32.6%)were common presenting features.Urethral calculi were most often initially investigated using plain X-ray(63.2%),with almost all radio-opaque(98.3%).Urethral calculi were frequently associated with coexistent bladder or upper urinary tract calculi(16.8%)and underlying urethral pathology(53.7%)including diverticulum(33.7%)or stricture(13.7%).Urethral calculi were most commonly managed with external urethrolithotomy(31.6%),retrograde manipulation(22.1%),and endoscopic in situ lithotripsy(17.9%).Conclusion:This unique systematic review of urethral calculi provided a summary of clinical features and treatment trends with a suggested treatment algorithm.Management in contemporary urological practice should be according to calculus size,shape,anatomical location,and presence of urethral pathology.

关 键 词：Urinary calculi URETHRA Urethral calculi Management algorithm 

分 类 号：R695[医药卫生—泌尿科学]