患者女性,89岁,农民。因尿失禁10余天于1996年7月5日入院。患者于10余年前即感排尿不畅,尿线变细,时呈点滴状伴胀痛。10余年来因怕羞未曾就医。检查:阴道上方有一圆形肿块,乒乓球大小,质硬,不能推动。分开尿道口即见一黑褐色结石。即在局麻下切开尿道取出结石。结石呈圆形,3.5cm×4.2cm大小,表面有杨梅状小毛刺,坚硬如石。术后排尿通畅。 讨论 因女性尿道短而直,结石不易滞留,故女性尿道结石远较男性为少。本例系农村高龄妇女,10余年来虽有尿频、尿急、排尿困难、下腹胀痛,但一直羞于启齿而未就医,直至完全尿失禁被子女发现才就诊。尿道结石多为继发结石,可由肾盂或膀胱原发结石下移嵌顿所致,如及时就诊不难处理。本例由于嵌顿10余年,日积月累形成巨大结石。 Patient female, 89 years old, farmer. Due to urinary incontinence more than 10 days in July 5, 1996 admission. More than 10 years ago, patients feel poor urination, urine thinning, when bit trickle-like with pain. More than 10 years because of shyness did not seek medical treatment. Check: a circular mass above the vagina, table tennis size, hard, can not promote. Separate the urethra that see a dark brown stone. That is under local anesthesia to remove the urethra stone. Stone was round, 3.5cm × 4.2cm size, surface bayberry-like small burr, hard as stone. Postoperative urination patency. Discussion Short and straight because of female urethra, stone is not easy to stranded, so female urethral stones are far less than men. In this case, the elderly women in rural areas, urinary frequency, urgency, dysuria, abdominal pain, more than 10 years, but has been ashamed to speak without medical treatment, until the complete urinary incontinence was only found in their children. Urethral stones are mostly secondary stones, stones or urinary bladder stones can be caused by incarceration, such as timely treatment is not difficult to deal with. In this case due to incarceration more than 10 years, over time to form a huge stone.