[Urethral lithotripsy and cystolithotripsy of giant urethral stones through a transperineal approach].

OBJECTIVE

To show that a one-stage transperineal procedure may be effective in the treatment of urethral stones secondary to urethral strictures.

METHODS

We present the case of a 36 y/o paraplegic male with neurogenic bladder, history of intermittent catheterization, and urethral strictures treated with internal urethrotomies several times. Imaging tests showed the presence of giant urethral and bladder stones with a concomitant bulbar urethra stricture. A one-stage transperineal approach was indicated.

RESULTS

Postoperative follow up was satisfactory. The patient was discharged from the hospital one day after the surgery. At 12 months there were no signs of urethral obstruction and he continued with intermittent catheterizations uneventfully.

CONCLUSION

One stage procedure was indicated because previous endourological treatments were unsuccessful. To our knowledge there is no published case of urethral stones the size we report to or its treatment with lithotripsy and litholapaxy in a one-stage transperineal approach.