Giant Dumbbell Urethral Calculus Secondary to Urethral Stricture: Hard Nut to Crack?

Urethral calculi are uncommon diagnoses. Large urethral stones with peculiar shapes have been reported. Management of such large stones depends upon size, shape, position, and associated abnormality of the urethra. We present a case of dumbbell-shaped large calculus secondary to bulbar urethral stricture. The patient was managed with Suprapubic cystotomy and antibiotics. Retrograde-urethrogram and micturating cystourethrogram showed bulbar urethral stricture. Trans vesical removal of stone was attempted; however, lower part of the calculus was impacted. Perineal retrieval of the calculus was done, followed by stage 1 urethroplasty with perineal urethrostomy. After three months, stage 2 urethroplasty was done.