Urethral calculus after radical prostatectomy: the importance of urethroscopy in evaluation of voiding disturbance

Abstract

Background: Urethral calculi are uncommon, and are generally a result of proximal calculi migrating distally. There are only 3 prior reports of intravesical calculi forming on sutures post radical prostatectomy, causing voiding disturbance. Case Report: A 49 year old man presents 8 months after radical retropubic prostatectomy with voiding disturbance, initially assumed to be secondary to anastamotic stricture. On further examination, an ovoid mass was found at the level of the glans. Subsequent urethroscopy revealed an impacted urethral calculus to be the cause of the voiding disturbance. There was no evidence of stricture or foreign material at the anastamotic site. Examination of the uret..