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

Hasegawa, Masanori; Ohara, Rei; Kanao, Kent; Nakajima, Yosuke

doi:10.1007/s00240-010-0323-0

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…However, they are formed in association with urethral stricture or diverticulum, neurogenic bladder or following open prostate surgery 2–6. These factors lead to urinary stasis and recurrent infections, predisposing to development of large stones 7. Risk factor for in situ formation of such large calculus in our patient is not clear, but the existence of a large residual cavity may suggest congenital diverticulum or persistent utricle 8…”

Section: Discussionmentioning

confidence: 72%

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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Section: Discussionmentioning

confidence: 72%

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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“…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.…”

Section: Discussionmentioning

confidence: 99%

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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“…Данные работы суммарно включали 24 случая таких камней. Все исследования по указанной тематике в хронологической последовательности их опубликования приведены в таблице 1 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: результаты и обсуждениеunclassified

“…камней крупного размера. При этом максимальный размер одного камня в этих работах достигал 6,5 см[14] (рис. 1).…”

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Giant prostatic calculi.

Katibov¹,

Богданов²,

Довлатов³

2022

ECU

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Introduction. Large prostatic calculi, which in total occupy almost the entire volume of the prostate gland, are extremely rare. A small number of clinical cases and a variety of treatment methods used in such cases determine the relevance of the study of this problem. Materials and methods. The review is based on articles published throughout history in scientific peer-reviewed journals included in the PubMed database and Elibrary.ru Scientific Electronic Library. The search was performed on the following keywords: «prostatic calculi», «prostate stones», «giant prostatic calculi», «large prostatic calculi», «giant prostatic stones», «large prostatic stones». At the first stage, 115 sources were found, of which 23 articles were included in the review. Results. A total of 20 publications were identified, which included a total of 24 cases of giant prostatic calculi. In 12 (50%) patients of this series of studies, the etiology of calculi was recognized as idiopathic, in 6 (25.0%) – urethral stricture, in 5 (20.8%) – neurogenic bladder, in 1 (4.2%) – eunuchoidism. In 9 (37.5%) patients, prostatic calculi were removed using an open operation: in 6 cases – using transvesical access as in adenomectomy, in 2 cases – using retropubic access as in adenomectomy, in 1 case – using radical nerve-sparing retropubic prostatectomy). In 15 (62.5%) patients, prostatic calculi were removed using endoscopic methods: in 7 cases, transurethral lithotripsy was performed without transurethral resection of the prostate (TURP), in 3 cases – transurethral lithotripsy with preliminary TURP, in 4 cases – TURP followed by extraction of prostatic calculi without crushing them, and in 1 case – in situ lithotripsy by cystotomy. Conclusions. Giant prostatic calculi are extremely rare and mostly secondary. For their removal, both open and endoscopic can be used equally successfully. The small number of works in this area necessitates further research.

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

Cited by 4 publications

References 9 publications

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

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

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

Giant prostatic calculi.

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