Cystoscopy-assisted percutaneous removal of impacted urethral stone.

Author:

Dr. Md. Jafrul Hannan,

Associate Professor, Dept of Pediatric Surgery,

Maa O Shishu Hospital, Chittagong, Bangladesh,

E-mail: boto_briksha@yahoo.com

A 3 yr old boy came with retention of urine and dysuria. On examination bladder was full, supra-pubic region was tender and a stone could be felt at posterior urethra. We planned push back and supra-pubic cystolithotomy. After general anesthesia the stone was pushed back by instillation of lignocaine jelly. Then under cystoscopic view a 5 mm laparoscopic port was inserted into bladder and through this the tiny stone was grasped and brought out. The port was closed by a single stitch. Penile catheter was kept for 5 days. The boy did well postoperatively.

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