Heineke-Mikulicz Principle in a Male With Failed Recurrent Urethral Diverticulum

Urethral diverticulum with a calculus in a male patient is an uncommon phenomenon, in which the management plan differs from one case to another. The formation of calculi can be attributed to the long-standing urinary stasis in the diverticulum leading to recurrent urinary tract infection and stone formation. In our case, a 35-year-old male was treated multiple times with excision and repair of urethral diverticulum leading to recurrent diverticula and calculus formation. He was successfully managed with excision of the defect followed by reconstruction using the Heineke-Mikulicz principle. No recurrence was noted during long-term follow-up.