{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:45:10Z","timestamp":1790801110523,"version":"4.1.0"},"reference-count":16,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2018]]},"abstract":"<b><i>Objectives:<\/i><\/b> The study aimed to present our center\u2019s experience with long-standing urethral stones in male children with normal urethra. <b><i>Materials and Methods:<\/i><\/b> Retrospective search of our center data was done for the cases of long-standing urethral stones with normal urethra in male children during the period July 2001 \u2013 June 2016. Demographic and clinical data were studied. <b><i>Results:<\/i><\/b> Of more than 54,000 urolithiasis procedures, 17 male children (0.031%) were operated for long-standing urethral stones with normal urethra. In 14 cases (82.4%), residence was rural and parental education levels were low or none. All children were regularly prompted voiding with a history of difficulty or dysuria. All the stones lodged in the posterior urethra with an approximate mean duration of 2 months. The mean stone size of 11.29 \u00b1 3.88 mm and rough surfaces in 88.2% of cases represented the main predisposing factors. Major complications included rectal prolapse in 1 case and vesicoureteral reflux in 3 cases. Endoscopic push-back was followed by disintegration in 76.5% or cystolithotomy in 17.7%, while it failed in 1 case that was treated by cystolithotomy. <b><i>Conclusions:<\/i><\/b> Long-standing urethral stones in male children with normal urethra are very rare misdiagnoses. Stone topography and sociocultural factors predisposed to their lodgments and negligence. Endoscopic treatment is the best approach.<\/jats:p>","DOI":"10.1159\/000488398","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T17:01:22Z","timestamp":1528304482000},"page":"85-90","source":"Crossref","is-referenced-by-count":4,"title":["Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. VI. Unusual Events in Urolithiasis: 1. Long-Standing Urethral Stones without Underlying Anatomical Abnormalities in Male Children"],"prefix":"10.1159","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4403-2859","authenticated-orcid":false,"given":"Rabea\u00a0A.","family":"Gadelkareem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed\u00a0A.","family":"Shahat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed\u00a0F.","family":"Abdelhafez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed\u00a0M.","family":"Moeen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelrady\u00a0S.","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed\u00a0S.","family":"Safwat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2018,6,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-0960-5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.1573"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2003.04660.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.18203\/2349-2902.isj20173182"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2012.05.009"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.03.028"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2015.2.105"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)49453-5"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.04.022"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2011.0120"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1995.tb00770.x"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.1636"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2012.05.002"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2014.11.004"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0565"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2017.03.005"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/488398","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/488398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T12:18:10Z","timestamp":1745410690000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000488398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,7,18]]},"published-print":{"date-parts":[[2018,7,24]]}},"URL":"https:\/\/doi.org\/10.1159\/000488398","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}