OBJETIVE: Evaluate the treatment of the meatus urethral lithiasis.METHODS/RESULTS: A case of a 52 year-old male patient is reported with a big stone in the urethral meatus. Male patient that consults for Micturitional Syndrome, disury and difficulty when urinating, in whom felt induration of the glans and observed a water-pipe where the patient urinated. The Diagnoses was made by the observation and the palpation of the glans. It was extracted by meatoplasthy with good results.CONCLUSIONS: The treatment of the meatus urethral big lithiasis that causes obstruction is the meatoplasthy.