Impacted Urethral Calculus in Children

Background: Urolithiasis is a disease affecting all age groups.Albeit the incidence of urinary tract calculi in children is lower than in adults, and urethral calculi, especially, are not common.The location of urethral calculi can bring about different clinical manifestations.Case Report: An 8-year-old boy who was referred to our facility with 12-hours history urinary retention and failed urethral catheterization.The referring hospital was said to have decompressed the urinary bladder by suprapubic tap.Clinical examination revealed a young male in painful distress and a calculus impacted at the stenosed external urethral meatus.He had emergency meatoplasty and extraction of the meatal calculus.The post-operative period of the patient was uneventful.He was discharged home second post-operative day. Conclusion:This demonstrates that while rare, urethral calculi do occur in pediatric age group and should be entertained in children presenting with urinary retention and failed urethral catheterization.Also, to highlight treatment options for impacted urethral calculi in children.