DR. PRANAY B R,DR. KHALILUR RAHMAN,DR SIVA SANKAR M,DR DHAKSHAY CHORDIA,DR ANEES PUTHAWALA,DR. J. BHUVANESWARRI
DOI: https://doi.org/Preputial calculi, also known as smegma stones, are exceedingly rare entities in urolithiasis, typically associated with uncircumcised elderly males suffering from phimosis or poor hygiene. A 65-year-old man with no comorbidities presented with an insidious 8-month history of penile pain during micturition, progressing to urinary difficulty, burning micturition, and complete retention for 2 days. Examination revealed a nodular lesion on the glans, induration, palpable bladder, and bilateral inguinal lymphadenopathy. Ultrasonography–guided FNAC of lymph nodes showed only lymphocytes; intraoperative exploration uncovered a 2 × 1 × 1 cm preputial smegmatic calculus. Surgical excision of the calculus with circumcision ensued. Histopathology revealed chronic non-specific inflammation; malignancy was excluded. Surgical management resulted in rapid symptom resolution. Review of literature highlights pathogenesis, diagnosis, management strategies, and complications, underscoring the need for timely recognition and treatment.
