1. The Case of an Obstructed Stone at the Distal Urethra
- Author
-
Dale P. Woolridge, Richard Amini, Richard J Cervantes, Laura R Slykhouse, Jayce Pangilinan, Stephen Irving, and Kelcy Higa
- Subjects
Penile Shaft ,medicine.medical_specialty ,Meatus ,urinary calculi ,Urology ,Distal Urethra ,030232 urology & nephrology ,03 medical and health sciences ,0302 clinical medicine ,medicine ,otorhinolaryngologic diseases ,Bedside ultrasound ,point-of-care ultrasound ,Glans ,Urethral meatus ,business.industry ,Ultrasound ,General Engineering ,urethral stone ,030208 emergency & critical care medicine ,Urethral Stone ,Surgery ,medicine.anatomical_structure ,pocus ,Emergency Medicine ,business - Abstract
This report highlights a presentation of urinary calculus impacted at the urethral meatus and bedside extraction after evaluation with point-of-care ultrasound (POCUS). Visualization of a stone at the urethral meatus prompted a point-of-care ultrasound of the penile shaft and glans. The ultrasound ruled out anatomic variations such as urethral diverticula and as a result bedside removal was expedited. The stone was successfully removed with traction and intraurethral lidocaine gel without urethral lesions or injury to the meatus. Bedside ultrasound is readily available in the emergency department and can be used to characterize urethral foreign bodies, evaluate urethral anatomy, and assess the likelihood of bedside removal.
- Published
- 2017