PMC5329789_01
X-ray examination of the pelvis showing a calcareous giant shadow in the view of the urethra suggestive of a stone.
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Radiologic evaluation confirmed the diagnosis (Figure 1), and the patient was admitted to the urology department and offered surgical treatment.
Final stage of the operation.
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After the urethra with diverticulum was exposed and external incision of the urethra was performed, one large stone and several smaller stones were removed (Figure 2).
The calculi removed from the urethra.
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The largest stone measured 75 mm high and 65 mm wide (Figure 3).
Retrograde urethrogram showing critical stricture of the urethra distally from the diverticulum, with fistula to the skin of the perineum.
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Before this operation, a retrograde urethrogram was ordered; it confirmed a critical stricture of the urethra distal to the diverticulum (Figure 4).
A: Sutured urethra after excision of the diverticulum; B: End-to-end anastomosis after excision stricture of the urethra distal to the diverticulum..
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Finally the diverticulum was dissected, much reduced, and completely closed (Figure 5).