title: Tricholithobezoar: an unusual late complication of neourethral reconstruction in aphallia.
abstract: An 18-year-old man born with aphallia had undergone phallic reconstruction in childhood followed by total urethral reconstruction with a buccal mucosal graft and groin-based pedicle (Singapore) flap urethroplasty at 13 years of age. The patient presented with obstructive voiding symptoms lasting 6 months followed by acute urinary retention. The results of a voiding cystourethrogram showed a filling defect in the distal urethra that had been reconstructed by use of the skin flap. On urethroscopy, a 3 cm×2 cm sized tricholithobezoar was seen in the distal urethra. Pneumatic lithotripsy followed by bulbar urethrolithotomy was performed in the same operation to extract the bezoar. The remaining hairs were mechanically epilated. The patient has been doing well for 6 months of follow-up.
authors.affiliation: Department of Urology, King George Medical University, Lucknow, India.
authors.forename: Vishwajeet
authors.initials: V
authors.lastname: Singh
authors.forename: Deepak Sharanappa
authors.initials: DS
authors.lastname: Nagathan
authors.forename: Rahul Janak
authors.initials: RJ
authors.lastname: Sinha
authors.forename: Dheeraj Kumar
authors.initials: DK
authors.lastname: Gupta
keywords: Bezoars; Epilation; Stone