Debilitating complications of unsuspected urethral stone: Case report and literature review

Primary anterior urethral calculi account for <0.3% of urinary stones with over 90% resulting from luminal anomalies. These stones are often diagnosed early and treated without clinical problems. Fournier's gangrene (FG), a lethal complication, was diagnosed and managed following a decade-long complaint of voiding lower urinary tract symptoms (LUTS) and clinical workout revelation of giant anterior urethral calculus in a normal lumen. Though multiple interventions resulted in a satisfactory outcome, these feared complications are rare. Hence reporting will significantly shape clinical practice. The perception of LUTS needs re-evaluation to enable early diagnosis of urethral stone and avoid debilitating complications.