Open Prostatolithotomy for the Management of Giant Prostatic Calculi

Shah, Satyan K.; Chau, Minh-Hang T.; Schnepper, Gregory D.; Lui, Paul D.

doi:10.1016/j.urology.2007.08.018

Cited by 15 publications

(14 citation statements)

References 5 publications

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“…They are typically asymptomatic and may be found in association with normal glands, benign prostatic hyperplasia or prostate cancer 1. Less than 20 cases of giant prostatic calculi have been reported in the English literature 2. They occur more frequently in younger men and are usually symptomatic, with lower urinary tract symptoms, urinary retention and pain being the common presentations 3.…”

Section: Discussionmentioning

confidence: 99%

“…Factors held responsible for large prostatic stones are recurrent infections, prostatic urethral dilation combined with urinary stasis and intraprostatic reflux that may cause chemical prostatitis leading to prostate atrophy and stone formation 2 5 6. Large prostatic stones have been reported following open retropubic prostatectomy, urethral stricture and rarely in neurogenic bladder patients 3 7…”

Section: Discussionmentioning

confidence: 99%

“…Although prostatic stones have been successfully managed endoscopicaly,8 9 open surgery has been used more commonly for management of large calculi 2 7. Bladder neck incision during open prostatolithotomy has been described as an important adjunct to ensure complete prostatic drainage 2 10. However, in the current patient, the bladder neck needs to be preserved to ensure continence.…”

Section: Discussionmentioning

confidence: 99%

“…However, giant prostatic calculi are very rare, affect younger men and are symptomatic 2. We present a case of a 38-year-old man with neurogenic bladder who presented with a recent onset of stress urinary incontinence.…”

Section: Introductionmentioning

confidence: 98%

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Stress urinary incontinence as a rare presentation of large prostatic stones in neurogenic bladder: implications and management

2013

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SUMMARYWe report a case of a 38-year-old man with a background of a neglected neurogenic bladder, who presented with a recent onset history of stress urinary incontinence. He was diagnosed as having large prostatic stones along with a low-compliance, small capacity bladder and bilateral hydronephrosis with deranged renal functions. As self-catheterisation was not possible due to obstructing prostatic stones, holmium-YAG laser lithotripsy of prostatic stones was performed as initial procedure that resulted in complete resolution of stress incontinence as well. Successful gastrocystoplasty was performed as a second step to deal with the underlying condition of neurogenic poorly compliant bladder. The present case describes the successful endoscopic management of prostatic calculi using holmium-laser lithotripsy and draws attention to other important issues that need to be addressed in certain special situations like neurogenic bladder. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Stress urinary incontinence as a rare presentation of large prostatic stones in neurogenic bladder: implications and management

2013

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“…However, giant prostatic urethral calculi are extremely rare. They affect younger men with lower urinary tract abnormalities, are usually symptomatic and traditionally managed by open surgery 2. We present a case of a 61-year-old man who presented with lower urinary tract symptoms (LUTS) and abnormal digital rectal examination findings.…”

Section: Introductionmentioning

confidence: 99%

Large prostatic stones with staghorn renal calculus in a 61-year-old man: an unusual presentation of uncommon disease

Hajji¹,

Lmezguidi

Janane

et al. 2017

BMJ Case Reports

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Prostatic parenchymal calculi are common in ageing men who are evaluated for benign prostatic hyperplasia or prostate cancer. Giant prostatic calculi are very rare, usually associated with local predisposing factors for urinary stasis and infections, and traditionally managed by open surgery. We present the first case of its kind to be associated with a concurrent staghorn nephrolithiasis, and removed successfully by endoscopic approach using an access sheath through the urethra.

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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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Open Prostatolithotomy for the Management of Giant Prostatic Calculi

Cited by 15 publications

References 5 publications

Stress urinary incontinence as a rare presentation of large prostatic stones in neurogenic bladder: implications and management

Stress urinary incontinence as a rare presentation of large prostatic stones in neurogenic bladder: implications and management

Large prostatic stones with staghorn renal calculus in a 61-year-old man: an unusual presentation of uncommon disease

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

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