A case of prostatic urethral calculus associated with perineal abscess and urethrocutaneous fistula

: A 37-year-old male who had sustained a lumbar vertebral fracture presented with the chief complaint of high fever and urine leakage from the perineal region. Computed tomography and urethroscopy showed a huge prostatic urethral calculus. He had a urethrocutaneous fistula in the perineal region. Transvesical prostate-urethrolithotomy, debridement of perineal abscess and cystostomy were performed. After operation, he had total incontinence during clamping of the cystostomy. Four months later, ileal-conduit formation and simple cystectomy were performed to improve urinary management. The pathogenesis of prostatic urethral calculus and the management of neurogenic bladder patients with spinal cord injury are reviewed.