Giant Pelvic Cocoon with Intra Prostatic Extension (Intravesical Tortoise!!!!!!!)

Abstract

Giant vesical calculus is a rare clinical entity in the recent urological practice. Males are affected more than the females. We report a case of 55years old male patient non diabetic or hypertensive who presented with urinary symptoms . His biochemical parameters were within normal limits. Urine analysis and culture sensitivity showed infection. His ultrasonography revealed a giant vesical calculus with intra prostatic extension and bilateral hydroureteronephrosis and small prostate. After controlling the urinary infection with course of antibiotics, he underwent an open cystolithotomy and post-operative recovery was uneventful.