Abstract
Urolithiasis is a common condition worldwide and accounts for 90,000 admissions per year to hospitals in England alone. Urinary tract stones become increasingly less common as they pass from upper to lower tract. In particular, they are exceedingly rare in the urethra, especially in the absence of previously diagnosed calculi, which are occasionally misdiagnosed as urethral lesions. With such few documented cases, diagnosis and treatment are less protocolised and is usually managed on a case-by-case basis. We report a rare and unusual case of a large distal urethral calculus, highlighting the challenges with preoperative diagnosis, the unsuitability of an endoscopic approach, and the subsequent success with elective meatotomy, extraction, and repair.
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