Giant calculus in urethral diverticulum

A case of primary giant calculus in female urethra

Urinary calculus is rarely seen in the urethra and is usually encountered in men with urethral stricture or diverticulum. Primary urethral calculi are extremely rare in females. We describe a case of a giant urethral stone impacted in the urethra of a 103-year-old female.

Proposed new method for nonoperative treatment of urethral stones

Urethral calculi is a common clinical problem in the Middle and Far East. Different endoscopic and operative techniques have been used in the treatment of impacted urethral stones. We report a noninvasive procedure to treat this condition. Intraurethral instillation of 2% lidocaine jelly was followed by spontaneous expulsion of the stone in 14 of 18 patients. The indications and limitations of the method are outlined.

Diverticulum of the female urethral roof managed endoscopically

We report a rare case of a diverticulum located along and draining into the roof of the urethra in a woman. This diverticulum was managed successfully endoscopically with a pediatric resectoscope. The pathophysiology of this unusual lesion is discussed, as is the rationale for endoscopic management.