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[A case of giant prostatic calculi].
H Kawashima1, N Kashihara, T Terada
1Department of Urology, Osaka Municipal Momoyama Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|July 1, 1992
Summary
This case report details a successful treatment for a rare combination of giant prostatic calculi, epididymitis, and urethral stricture in an elderly male patient. Surgical intervention resolved the complex urological issues, leading to a full recovery.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Benign prostate hyperplasia (BPH) can lead to complications such as prostatic calculi.
- Urethral strictures and epididymitis are significant urological conditions that can affect patient quality of life.
Observation:
- An 83-year-old male presented with fever and scrotal pain, indicative of epididymitis.
- Imaging revealed giant prostatic calculi (28g, 125 pieces) compressed by BPH and an anterior urethral stricture.
Findings:
- The patient underwent a multi-procedural surgery including right orchiectomy, urethral bougie, and suprapubic prostatectomy with calculi removal.
- Histopathological examination confirmed the presence of multiple large prostatic calculi.
Implications:
- This case highlights the successful management of a complex urological presentation involving giant prostatic calculi and associated conditions.
- Aggressive surgical management can lead to favorable outcomes and disease-free survival in elderly patients with intricate urological pathologies.