Distal urethral calculus. Polypoid cystourethral junction calculi. Other small calculi were also noted in the urethra. Surgical consultation is recommended for perineal urethrostomy and retropulsion or retraction of the calculus is recommended. However, concurrent cystotomy is likely necessary with biopsies of the polyps at the cystourethral junction. The polypoid changes at the trigone are likely hyperplastic owing to passage of calculi. However, underlying TCC could not be ruled out. Sampling through ultrasound-guided traumatic catheterization could be performed during surgery. It would be difficult to retropulse this urethral calculus.