A case of periurethral abscess with an underlying deep dorsal vein thrombosis in a 35- year-old-male with a large bladder calculus is reported. The patient received antibiotics, a topical heparinoid, and underwent open cystolithotomy. The abscess drained spontaneously as the patient refused surgical intervention. He recovered with no penile deformity and maintained erectile function at 6 months from discharge.
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