Urinary obstruction caused by urethral stones in a pediatric patient with hypospadias: a rare Case Report in Somalia

Urethral stones are an uncommon cause of urinary blockage in children, particularly in those with congenital anomalies such as hypospadias. We present a 5-year-old boy with distal hypospadias who experienced repeated episodes of urinary retention and intermittent painful urination. During surgical repair, small urethral stones were identified at the stenotic meatus. The patient underwent a successful tubularized-incised plate hypospadias repair, resulting in normal voiding and resolution of obstruction. This case highlights the importance of considering urethral calculi in children with congenital urethral anomalies to prevent recurrent urinary retention and related complications. • Urethral calculi are a rare but important cause of urinary obstruction in children. • Congenital anomalies like hypospadias can predispose to urinary stasis and stone formation. • Small distal urethral stones may be missed on imaging, requiring careful clinical evaluation. • Surgical repair of hypospadias can resolve obstruction and prevent recurrence. • Early recognition and intervention improve outcomes and preserve urinary function.