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A. Gross appearance of the penis. B. Phimosis on examination (arrow).
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On physical examination, the prepuce appeared to be phimosis and was palpable, with a thick preputial skin and stone inside the preputial cavity (Fig. 1).
A. Plain film showing the multiple preputial stones (arrow). B. Urethrography x-ray showing multiple radio-opaque shadows in the tip of the penis (arrow), a normal caliber urethra with no evidence of stricture.
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A plain film and urethrography x-ray showed multiple radio-opaque shadows in the tip of the penis, with a normal caliber of the urethra, and no evidence of stricture (Fig. 2).
After the dorsal incision, multiple white stones were apparent in the preputial cavity.
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Dorsal slit circumcision and preputial stone extraction were done (Fig. 3), recovering 134 stones of up to 4 x 8 mm (Fig. 4).