Brushite Lithiasis of Prostate

Gawande, Atmaram S.

doi:10.1111/j.1464-410x.1986.tb09039.x

Cited by 7 publications

(2 citation statements)

References 2 publications

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“…However, endoscopy remained unrevealing for any anatomic abnormality in the lower urinary tract. On the other hand, a point should be emphasized that our patient is the youngest with idiopathic prostatic giant calculi in the literature [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Prostatitis has been accused as one of the predisposing causes in initiating the cascade of prostatic calculi formation [3]. Persistent urinary infection, especially with urea splitting organism, bladder neck stenosis, a large prostatic fossa following prostate surgery and any remained nidus formed by such as suture knot are also identified as possible causes of prostatic calculi [4,5]. Prostatic calculi have also been reported in association with ochronosis, hemospermia, hyperparathyroidism, prostatic hyperplasia and carcinoma in the literature [3,6,7].…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic Prostatic Giant Calculi in a Young Male Patient

et al. 2005

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Idiopathic Prostatic Giant Calculi in a Young Male Patient

et al. 2005

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Transurethral lithotripsy with holmium-YAG laser of a large exogenous prostatic calculus

Hasegawa

Ohara²,

Kanao³

et al. 2010

Urol Res

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Prostatic calculi are classified into two types, endogenous and exogenous calculi, based on their origin. Endogenous calculi are commonly observed in elderly men; however, exogenous prostatic calculi are extremely rare. We report here the case of a 51-year-old man who suffered incontinence and pollakiuria with a giant exogenous prostatic calculus almost completely replacing the prostatic tissue. X-rays and computed tomography demonstrated a large calculus of 65 × 58 mm in the small pelvic cavity. The patient underwent a transurethral lithotripsy with a holmium-YAG laser and a total of 85 g of disintegrated stones was retrieved and chemical stone analysis revealed the presence of magnesium ammonium phosphate. The incontinence improved and the voiding volume increased dramatically, and no stone recurrence in the prostatic fossa occurred at the 2 years follow-up. The etiology of this stone formation seemed to be based on some exogenous pathways combined with urinary stasis and chronic urinary infection due to compression fracture of the lumbar vertebra.

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Transurethral holmium-YAG laser lithotripsy for large symptomatic prostatic calculi: initial experience

2013

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Symptomatic prostatic calculi are a rare clinical entity with wide range of management options, however, there is no agreement about the preferred method for treating these symptomatic calculi. In this study we describe our experience of transurethral management of symptomatic prostatic calculi using holmium-YAG laser lithotripsy. Patients with large, symptomatic prostatic stones managed by transurethral lithotripsy using holmium-YAG laser over 3-year duration were included in this retrospective study. Patients were evaluated for any underlying pathological condition and calculus load was determined by preoperative X-ray KUB film/CT scan. Urethrocystoscopy was performed using 30° cystoscope in lithotomy position under spinal anesthesia, followed by transurethral lithotripsy of prostatic calculi using a 550 μm laser fiber. Stone fragments were disintegrated using 100 W laser generators (VersaPulse PowerSuite 100 W, LUMENIS Surgical, CA). Larger stone fragments were retreived using Ellik's evacuator while smaller fragments got flushed under continuous irrigation. Five patients (median age 42 years) with large symptomatic prostatic calculi were operated using the described technique. Three patients had idiopathic stones while rest two had bulbar urethral stricture and neurogenic bladder, respectively. Median operative time was 62 min. All the patients were stone free at the end of procedure. Median duration of catheterization was 2 days. Significant improvement was observed in symptoms score and peak urinary flow and none of the patient had any complication. Transurethral management using holmium-YAG laser lithotripsy is a safe and highly effective, minimally invasive technique for managing symptomatic prostatic calculi of all sizes with no associated morbidity.

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Brushite Lithiasis of Prostate

Cited by 7 publications

References 2 publications

Idiopathic Prostatic Giant Calculi in a Young Male Patient

Idiopathic Prostatic Giant Calculi in a Young Male Patient

Transurethral lithotripsy with holmium-YAG laser of a large exogenous prostatic calculus

Transurethral holmium-YAG laser lithotripsy for large symptomatic prostatic calculi: initial experience

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