The diagnosis and management of 19 patients treated for urethral calcu
li over a 16-year period are reviewed. All were males, had a median ag
e of 20 years, and urinary retention was the most common presenting sy
mptom. Thirteen (68%) had anterior urethral calculi; 14 (74%) had anat
omic alterations of the urethra; and 12 (80%) of the patients who had
urine culture had urinary infection. External urethrotomy and open cys
tolithomy were the methods used for the removal of calculi in most ins
tances.