{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:20:16Z","timestamp":1755217216350,"version":"3.43.0"},"reference-count":9,"publisher":"Vilnius University Press","issue":"1","license":[{"start":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:00:00Z","timestamp":1615248000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background:\u00a0Preputial stone disease is the rarest type of urolithiasis. Adult males with severe phimosis and poor hygiene are mainly affected.Case Presentation:\u00a0A 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:\u00a0Personal 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.<\/jats:p>","DOI":"10.15388\/amed.2021.28.1.10","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:47:05Z","timestamp":1615250825000},"page":"195-198","source":"Crossref","is-referenced-by-count":1,"title":["Incidental Detection of Preputial Calculus in a Patient with Partial Phimosis: Is it as Rare as We Believed?"],"prefix":"10.15388","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6360-0762","authenticated-orcid":false,"given":"Evangelos N.","family":"Symeonidis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrysovalantis","family":"Toutziaris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonios","family":"Katsimantas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Dimitriadis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6097","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"doi-asserted-by":"publisher","unstructured":"Palinrungi MA, Kholis K, Syahrir S, Syarif, Faruk M. Multiple preputial stones: A case report and literature review. Int J Surg Case Rep. 2020;70:87-92. doi: 10.1016\/j.ijscr.2020.04.041.","key":"ref0","DOI":"10.1016\/j.ijscr.2020.04.041"},{"doi-asserted-by":"publisher","unstructured":"Chong TH, Asyraf MZ, Hayati F, Azizan N, Sahid NA, Ting JRS, Zakaria AD. Giant Preputial Calculus: The First Reported Case in Malaysia. Case Rep Surg. 2018 Sep 18;2018:4606259. doi: 10.1155\/2018\/4606259.","key":"ref1","DOI":"10.1155\/2018\/4606259"},{"doi-asserted-by":"publisher","unstructured":"Ellis DJ, Siegel AL, Elder JS, Duckett JW. Preputial calculus: a case report. J Urol. 1986 Aug;136(2):464-5. doi: 10.1016\/s0022-5347(17)44910-x.","key":"ref2","DOI":"10.1016\/S0022-5347(17)44910-X"},{"doi-asserted-by":"publisher","unstructured":"Tu\u011flu D, Yuvan\u00e7 E, Y\u0131lmaz E, Batislam E, G\u00fcrer YK. Unknown complication of preputial calculi: preputial skin fistula. Int Urol Nephrol. 2013 Oct;45(5):1253-5. doi: 10.1007\/s11255-013-0496-x.","key":"ref3","DOI":"10.1007\/s11255-013-0496-x"},{"doi-asserted-by":"publisher","unstructured":"Spataru RI, Iozsa DA, Ivanov M. Preputial calculus in a neurologically-impaired child. Indian Pediatr. 2015 Feb;52(2):149-50. doi: 10.1007\/s13312-015-0591-4.","key":"ref4","DOI":"10.1007\/s13312-015-0591-4"},{"doi-asserted-by":"publisher","unstructured":"Sonnex C, Croucher PE, Dockerty WG. Balanoposthitis associated with the presence of subpreputial \"smegma stones\". Genitourin Med. 1997 Dec;73(6):567. doi: 10.1136\/sti.73.6.567.","key":"ref5","DOI":"10.1136\/sti.73.6.567"},{"doi-asserted-by":"publisher","unstructured":"Kekre G, Kothari P, Gupta A, Patil P, Kamble RS, Dikshit K, Deshpande A. A rare case of preputial calculi in a child with balanitis xerotica obliterans: A short communication. African Journal of Urology. 2016 22(3):227-229. doi: 10.1016\/j.afju.2015.05.002","key":"ref6","DOI":"10.1016\/j.afju.2015.05.002"},{"doi-asserted-by":"publisher","unstructured":"Mohapatra TP, Kumar S. Concurrent preputial calculi and penile carcinoma--a rare association. Postgrad Med J. 1989 Apr;65(762):256-7. doi:10.1136\/pgmj.65.762.256.","key":"ref7","DOI":"10.1136\/pgmj.65.762.256"},{"unstructured":"Yuasa T, Kageyama S, Yoshiki T, Okada Y. Preputial calculi: a case report. Hinyokika Kiyo. 2001 Jul;47(7):513-5.","key":"ref8"}],"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/22887\/22160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/22887\/22161","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/22887\/22161","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/22887\/22160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T08:15:55Z","timestamp":1754381755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/view\/22887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,9]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,18]]}},"URL":"https:\/\/doi.org\/10.15388\/amed.2021.28.1.10","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"type":"electronic","value":"2029-4174"},{"type":"print","value":"1392-0138"}],"subject":[],"published":{"date-parts":[[2021,3,9]]}}}