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  • Title: [A case of prostatic urethral calculus associated with perineal abscess and urethrocutaneous fistula].
    Author: Toyoshima Y, Hosokawa Y, Hashimura M, Takada S, Hayashi Y, Fujimoto K, Hirao Y.
    Journal: Hinyokika Kiyo; 2012 Jan; 58(1):35-8. PubMed ID: 22343742.
    Abstract:
    A 37-year-old male who had sustained a lumbar vertebral fracture presented with the chief complaint of high fever and urine leakage from the perineal region. Computed tomography and urethroscopy showed a huge prostatic urethral calculus. He had a urethrocutaneous fistula in the perineal region. Transvesical prostate-urethrolithotomy, debridement of perineal abscess and cystostomy were performed. After operation, he had total incontinence during clamping of the cystostomy. Four months later, ileal-conduit formation and simple cystectomy were performed to improve urinary management. The pathogenesis of prostatic urethral calculus and the management of neurogenic bladder patients with spinal cord injury are reviewed.
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