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Urethral lithiasis after phalloplasty
  1. Mário José Pereira-Lourenço1,
  2. Miguel Eliseu1,
  3. Paulo Temido1 and
  4. Arnaldo Figueiredo1,2
  1. 1 Urology and Kidney Transplantation, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
  2. 2 Faculdade de Medicina, Universidade de Coimbra, Coimbra, Coimbra, Portugal
  1. Correspondence to Dr Mário José Pereira-Lourenço, mariolourenco88{at}


Female-to-male transsexual patient, 22 years old, with neophallus from radial forearm free flap (phalloplasty in March 2014), history of urethral fistula and urethral stricture 1 year later treated with surgical correction (fistulectomy) and suprapubic urinary diversion. Subsequently, he developed a new urethral stenosis located in the urethral anastomosis. Immediately proximal to the stenosis, there was a urethral dilatation (pseudodiverticulum) with a fibrous septum and several retracted stones. The stones were fragmented, the fibrous septum destroyed and the urethral stricture corrected, all with holmium laser. After 40 months of follow-up the patient shows satisfactory urinary flow with no signs of residual lithiasis or stricture.

  • urological surgery
  • sexual health

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  • Contributors MJP-L had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: MJP-L. Acquisition of data: MJP-L, ME, PT. Analysis and interpretation of data: MJP-L, ME. Drafting of the manuscript: MJP-L, ME, PT, AF. Critical revision of the manuscript for important intellectual content: MJP-L, AF.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.