Tricholithobezoar: An Unusual Late Complication of Neourethral Reconstruction in Aphallia.
10.4111/kju.2013.54.5.345
- Author:
Vishwajeet SINGH
1
;
Deepak Sharanappa NAGATHAN
;
Rahul Janak SINHA
;
Dheeraj Kumar GUPTA
Author Information
1. Department of Urology, King George Medical University, Lucknow, India. vishwajeeturo@sify.com
- Publication Type:Case Report
- Keywords:
Bezoars;
Epilation;
Stone
- MeSH:
Bezoars;
Follow-Up Studies;
Hair;
Hair Removal;
Humans;
Lithotripsy;
Skin;
Transplants;
Urethra;
Urinary Retention
- From:Korean Journal of Urology
2013;54(5):345-347
- CountryRepublic of Korea
- Language:English
-
Abstract:
An 18-year-old man born with aphallia had undergone phallic reconstruction in childhood followed by total urethral reconstruction with a buccal mucosal graft and groin-based pedicle (Singapore) flap urethroplasty at 13 years of age. The patient presented with obstructive voiding symptoms lasting 6 months followed by acute urinary retention. The results of a voiding cystourethrogram showed a filling defect in the distal urethra that had been reconstructed by use of the skin flap. On urethroscopy, a 3 cmx2 cm sized tricholithobezoar was seen in the distal urethra. Pneumatic lithotripsy followed by bulbar urethrolithotomy was performed in the same operation to extract the bezoar. The remaining hairs were mechanically epilated. The patient has been doing well for 6 months of follow-up.
