Giant urethral stone with diverticulum; a case report:

Asad Ramzan; Adeen Akram; Suaiba Saif; Farhan Jamshed; Nauman Khalid

doi:10.37723/jumdc.v12i4.664

Asad Ramzan Student, Shalamar Medical College, Lahore.
Adeen Akram Postgraduate Resident, Department of Dermatology, District Head Quarter Hospital Faisalabad.
Suaiba Saif Post-Graduate Resident, Department of Urology, Madinah Teaching Hospital Faisalabad.
Farhan Jamshed Senior Registrar, Department of Urology Madina Teaching Hospital Faisalabad
Nauman Khalid Consultant, Department of Urology, Madinah Teaching Hospital Faisalabad.

DOI: https://doi.org/10.37723/jumdc.v12i4.664

Abstract

Urethral calculi are rare and represent 1-2% of all urinary stone diseases. Rarely, calculus grows to large size and are labeled as a "giant urethral calculus". A 75-year-old male came to the OPD of Madinah Teaching Hospital Faisalabad with a chief complaint of suprapubic pain, penile pain, and hard mass on the left side of the scrotum and anterior perineum. The patient had a significant history of undergoing debridement for Meleney's and Fournier's gangrene, along with suprapubic cystostomy done about 1.5 years back. Physical examination revealed a solid mass with dimensions 6x7 cm on the left side of the scrotum and anterior perineum (left periurethral area). Open surgery was performed. A huge stone, 6x6cm, was removed. Diverticulae were excised, and urethroplasty was performed. A catheter was removed on the 21^st postoperative with a satisfactory urinary stream.