The Teaching Point

Although extremely rare, primary urethral stones frequently complicate urethral pathologies, including strictures and diverticula. Besides the usual urinary symptoms, long standing bulbous urethral stones can grow in size and be palpated as hard scrotal masses at the level of the penoscrotal junction, and the diagnosis can be confirmed by retrograde urethrogram.






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Giant urethral stone presenting as a scrotal mass: Case report

Free full text article: Giant urethral stone presenting as a scrotal mass: Case report

Abstract
Primary urethral stones are a rare form of urolithiasis accounting for less than 0.3% of urinary stones. We are reporting a case of a giant primary urethral stone that developed in the penile urethra resulting from a post-surgical complication of urethral stricture. The patient presented with difficulty urinating, ejaculatory dysfunction, and a hard palpable scrotal mass.






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