36 y/o Male, Weak Stream, Pain

36-year-old male presented with weak stream and pain.

Figure 1. Scout image prior to urethrogram depict radiodensity in the urethral region and seen in oblique image represents urethral stone.

Figure 2. Ascending urethrogram shows filling defect in membranous urethra with minimal contrast going up confirm the presence of urethral stone.

Figure 3. Ultrasound done before one week of urethrogram demonstrates unremarkable urinary bladder.

Figure 4. Ultrasound done before one week of urethrogram demonstrates bilateral mild hydronephrosis and proximal hydro ureter. Rest of both ureter was not seen properly.

Initial ultrasound demonstrated mild bilateral hydronephrosis and proximal hydro ureter.

On urethrogram, the scout film shows radiodensity in region of urethra, which was seen again in oblique projection.

Urolithiasis refers to the presence of calculi anywhere along the course of the urinary tracts.

Urinary tract stones mostly impact the prostatic urethra although ~40% (range 30%-50%) are found in the anterior urethra.