Acute onset of dysuria and anuria. History of senile prostatic enlargement.
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A stone is seen impacted at the origin of the prostatic urethra. It measures 850 HU in average density likely to be ca oxalate/phosphate stone.
Prostatic enlargement is noted.
The stone was impacted on the posterior urethral opening and it was extracted during urethroscopy. The presentation of the patient was acute which gave no time for developing hydroureteronephrosis.