case_images: PMC6537023_01
case_images: Palpation of mass at the base of the penis (case 1).
case_images: CRIU2019-5762139.001.jpg
case_images: PMC6537023_01_CRIU2019-5762139.001.jpg
case_images: fig1
case_images: A tense and sensitive bladder was palpated in the suprapubic region as well as a hard mass, at the base of the penis (Figure 1).
case_images: Plain abdominal radiograph showing the urethral calculus (case 1).
case_images: CRIU2019-5762139.002.jpg
case_images: PMC6537023_01_CRIU2019-5762139.002.jpg
case_images: fig2
case_images: An abdominal scout film showed a rounded opacification beneath the pubic symphysis (Figure 2).
case_images: VCUG (elongated, dilated urethra) (case 1).
case_images: CRIU2019-5762139.003.jpg
case_images: PMC6537023_01_CRIU2019-5762139.003.jpg
case_images: fig3
case_images: Voiding radiographs confirmed interruption to flow in the penile urethra with proximal urethral dilatation (Figure 3).
case_images: Postvoid residue on VCUG (case 1).
case_images: CRIU2019-5762139.004.jpg
case_images: PMC6537023_01_CRIU2019-5762139.004.jpg
case_images: fig4
case_images: The postvoid residual volume was significant (Figure 4).
case_images: Endoscopic view of the calculus (case 1).
case_images: CRIU2019-5762139.005.jpg
case_images: PMC6537023_01_CRIU2019-5762139.005.jpg
case_images: fig5
case_images: At urethroscopy, a stone completely obstructing the lumen and encrusted in the urethral wall, prevented endoscopic extraction (Figure 5).
case_images: Extracted urethral stone (case 1).
case_images: CRIU2019-5762139.006.jpg
case_images: PMC6537023_01_CRIU2019-5762139.006.jpg
case_images: fig6
case_images: An elongated 6 mm x 9 mm lithiasis with a crystalline surface was extracted (Figure 6).
case_images: PMC6537023_02
case_images: (a) Suprapubic bladder distension (case 2); (b) meatal stenosis (case 2).
case_images: CRIU2019-5762139.007.jpg
case_images: PMC6537023_02_CRIU2019-5762139.007.jpg
case_images: fig7
case_images: Physical examination revealed an agitated child, writhing with pain in the hypogastric region, and a palpable full bladder (Figure 7).
case_images: Suprapubic cystostomy in place (case 2).
case_images: CRIU2019-5762139.008.jpg
case_images: PMC6537023_02_CRIU2019-5762139.008.jpg
case_images: fig8
case_images: Palpation of the body of the penis did not reveal any masses. 600 ml of clear urine was drained from an urgent bedside 8 Fr cystostomy (Figure 8).
case_images: (a) Scout film, stone in the penile midshaft (case 2). (b) VCUG, partial urethral obstruction (case 2).
case_images: CRIU2019-5762139.009.jpg
case_images: PMC6537023_02_CRIU2019-5762139.009.jpg
case_images: fig9
case_images: A scout film confirmed an ovoid calculus in the proximal part of the anterior urethra (Figure 9).
case_images: (a) Urethral calculus, in situ (case 2). (b) Extracted calculus (case 2).
case_images: CRIU2019-5762139.010.jpg
case_images: PMC6537023_02_CRIU2019-5762139.010.jpg
case_images: fig10
case_images: A voiding cystourethrogram showed a partially obstructed urethra and absence of passive as well as active vesicoureteral reflux (Figure 10). An encrusted urethral stone (13 mm x 6 mm) with a speculated surface was extracted (Figure 10).
case_images: PMC6537023_03
case_images: Physical exam showing location of stone (case 3).
case_images: CRIU2019-5762139.011.jpg
case_images: PMC6537023_03_CRIU2019-5762139.011.jpg
case_images: fig11
case_images: On physical examination, the urethra meatus was normal; there was a hard, round, palpable mass in a tender penile urethra (Figure 11).
case_images: (a) Scout film showing penile stone (case 3). (b) VCUG, interruption of contrast (case 3).
case_images: CRIU2019-5762139.012.jpg
case_images: PMC6537023_03_CRIU2019-5762139.012.jpg
case_images: fig12
case_images: A scout film of the pelvis showed an image of a urethral stone (Figure 12(a)). Opacification of lower tract during VCUG confirmed the obstruction from the stone but no reflux (Figure 12(b)).
case_images: Urethral stone extraction (case 3).
case_images: CRIU2019-5762139.013.jpg
case_images: PMC6537023_03_CRIU2019-5762139.013.jpg
case_images: fig13
case_images: We removed the calculus via urethrotomy (Figures 13 and 14).
case_images: Stone removed (case 3).
case_images: CRIU2019-5762139.014.jpg
case_images: PMC6537023_03_CRIU2019-5762139.014.jpg
case_images: fig14
case_images: We removed the calculus via urethrotomy (Figures 13 and 14).
case_images: Postoperative dressing with urethral and suprapubic catheter (case 3).
case_images: CRIU2019-5762139.015.jpg
case_images: PMC6537023_03_CRIU2019-5762139.015.jpg
case_images: fig15
case_images: The two urinary catheters were kept on the abdomen after dressing (Figure 15).