Enclave Stone in the Prostatic Urethra: A Case Report with Review of the Literature

The urethra is an infrequent site. Urethral calculi are stones that have developed in the urethra, as opposed to stones embedded in the urethra of renal or bladder origin. Mr. A.T, 32 years old, with a history of recurrent urinary tract infection. The patient consulted the emergency room for dysuria with penile and perineal pain. Clinical examination revealed a discrete hypogastric swelling, a punctiform urethral meatus and palpation of an intramedullary calculus. A renal-vesicoprostatic ultrasound was performed, showing an intraprostatic calculus. The patient underwent a meatoplasty, the intra-urethral injection of a lubricating gel allowed the extraction of the intramedullary calculus by a fine bengolea forceps, then a small caliber urethral catheter was put in place for 7 days before extracting the prostatic calculus by endoscopic way. Urethral calculusis a rare cause of acute urine retention. Diagnosis based primarily on imaging. The choice of a surgical technique is not always obvious. In daily practice, each case should be discussed, and the most appropriate treatment performed.