Urethroliths - a rare complication of urethral reconstruction

A 15-year-old boy, a member of a dance troupe, presented to the outpatient clinic with a 4-month history of dull scrotal pain and stress incontinence. He had complete bladder exstrophy epispadias complex identified at birth and underwent bladder reconstruction (modified Kelly procedure) at 6 months of age. At 17 months of age, neourethral reconstruction had been undertaken using flaps from pubic skin and he achieved urinary continence. Physical examination revealed multiple hard, gritty, mobile masses in the scrotal sac beside the right testis and an ultrasound examination showed multiple calcified masses in scrotum (scrotoliths) with indistinct localisation. Subsequent MRI scan showed calculi in the dilated bulbar part of neourethra (figure 1). On surgical exploration, pearly white calculi (0.5–2 cm) were removed from the urethra (urethroliths) and he regained continence. All calculi were covered and entangled by hair (figure 2). Calculi on analysis showed calcium oxalate, calcium phosphate...

Source: Archives of Disease in Childhood - May 18, 2023 Category: Pediatrics Authors: Suresh Babu, J., Puthenveettil Yesodharan, H. Tags: Miscellanea Source Type: research