Giant prostatic calculi

Abstract

Prostatic parenchymal calculi are common, usually incidental, findings on morphological examinations. They are typically asymptomatic and may be present in association with normal glands, benign prostatic hyperplasia, and prostate cancer. However giant prostatic calculi are rare. Less than 20 cases have been reported in the literature. We present the case of a 35-year-old man with two giant prostatic calculi that replaced the entire gland. He underwent an open cystolithotomy, two giant stones were removed from the prostate, and we used a lithotripsy in situ for extraction of stone fragments.

Is There A Relation Between Serum Uric Acid Values and Prostatic Calculi Presence?

“…Thus, it is shown that the resultant intraprostatic urinary reflux and the urinary components in reflux may contribute to PCal formation [10]. Prostatic inflammatory procedures other than intraprostatic urinary reflux, dilatations occurring in prostatic asinities and after the blockage of intraprostatic channels, formation of corpora amilacea and accumulation of hydroxyapatite crystals on this and the mineralization of these with calcium are the mechanisms that can play a role in PCal formation [10][11][12][13][14][15].…”

Recurrent Giant Prostatic Urethral Calculus: A Case Report and Mini-Review of the Literature

“…Primary native calculi are usually small and multiple, and secondary calculi are usually larger [4]. Primary urethral stones can be formed from direct precipitation of elements present in prostatic secretions stasis that results from obstruction, inflammation and chronic infection of the prostate ducts [6]. They are magnesium ammonium phosphate (struvite), calcium phosphate or calcium carbonate in composition, have no nucleus and are of uniform structure.…”

“…Clinical examination is usually normal but sometimes these calculations are collected on digital rectal examination as a hard nodule that was suspected more of a prostate cancer. The diagnosis of prostatic calculi is radiological standard radiographs or ultrasound especially prostate transrectal which has better diagnostic sensitivity [6]. Retrograde cystography is indicated to detect associated urethral disease [6,7].…”

“…The diagnosis of prostatic calculi is radiological standard radiographs or ultrasound especially prostate transrectal which has better diagnostic sensitivity [6]. Retrograde cystography is indicated to detect associated urethral disease [6,7]. To date, there has been no consensus regarding the optimal treatment for giant prostatic urethral calculi.…”

Prostatic Calculi: A Harbor for Infections, a Case Report and Review of Literature

“…Endogenous calcifications can be formed by the precipitation of elements present in the prostatic secretions which can result from obstruction, inflammation, and chronic infection of the ducts. However, when the stones are exogenous, they are formed from constituents of the urine, as shown by crystallographic studies of prostatic calculi [3,4].…”