Incidental Detection of Preputial Calculus in a Patient with Partial Phimosis: Is it as Rare as We Believed?
Open Access
- 18 January 2021
- journal article
- Published by Vilnius University Press in Acta medica Lituanica
- Vol. 28 (1), 10
- https://doi.org/10.15388/amed.2021.28.1.10
Abstract
Background: Preputial stone disease is the rarest type of urolithiasis. Adult males with severe phimosis and poor hygiene are mainly affected.Case Presentation: A 90-year-old male sought treatment for steadily worsening urinary frequency, intermittency, incontinence, and pain at the tip of his penis of 3-days duration. Clinical examination revealed a palpable distended urinary bladder, a partial phimosis and a round, hard on palpation, and partly ulcerative lesion at the tip of the foreskin. A single, 1 cm in maximum diameter stone, was incidentally discovered beneath the prepuce and subsequently removed from the preputial sac. The patient refused further treatment with circumcision, and opted for conservative therapy of benign prostate hyperplasia.Conclusion: Personal hygiene remains the cornerstone in the prevention of the preputial calculi formation, while circumcision represents the mainstay of treatment for definite stone removal and elimination of the precipitating causes.This publication has 9 references indexed in Scilit:
- Multiple preputial stones: A case report and literature reviewInternational Journal of Surgery Case Reports, 2020
- Giant Preputial Calculus: The First Reported Case in MalaysiaCase Reports in Surgery, 2018
- A rare case of preputial calculi in a child with balanitis xerotica obliterans: A short communicationAfrican Journal of Urology, 2016
- Preputial calculus in a neurologically-impaired childIndian Pediatrics, 2015
- Unknown complication of preputial calculi: preputial skin fistulaInternational Urology and Nephrology, 2013
- Preputial calculi: a case report.2001
- Balanoposthitis associated with the presence of subpreputial "smegma stones".Sexually Transmitted Infections, 1997
- Concurrent preputial calculi and penile carcinoma--a rare association.Heart, 1989
- Preputial Calculus: A Case ReportJournal of Urology, 1986