A rare case after hypospadias repair: Urethral diverticulum with stones
Pari Khalilova1
, Merve Bulbul1, Bilgesu Arikan Ergün2, Seda Kaynak Sahap2, Ergun Ergun1, Murat Cakmak1
1Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Türkiye
2Department of Pediatric Radiology, Ankara University Faculty of Medicine, Ankara, Türkiye
Keywords: Children, diverticulum, hypospadias, stone.
Abstract
Urethral stones are rare in children, accounting for only 0.3% of all pediatric urinary stones. An eight-year-old boy was admitted with a history of penoscrotal hypospadias repair in whom urethral diverticulum with stones was developed. After a prolonged treatment process, the patient did not attend follow-up visits for nearly five years, as there were no recurring complaints. The patient initially presented with meatal stricture and a scrotal ultrasound revealed a calcified stone. Surgical removal was performed with excision of the diverticulum and two-layer urethral repair. Postoperative crystallographic analysis result was reported as struvite. In conclusion, urethral stones, although uncommon, may develop in children with conditions such as hypospadias that promote urinary stasis. Surgical intervention is crucial to prevent recurrence, and stone analysis helps guide future treatment.
Citation: Khalilova P, Bulbul M, Arikan Ergün B, Kaynak Sahap S, Ergun E, Cakmak M. A rare case after hypospadias repair: Urethral diverticulum with stones. Turkish J Ped Surg 2025;39(2):96-98. doi: 10.62114/JTAPS.2025.75.