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Endoscopic treatment of multiple prostatic calculi causing urinary retention
Selahattin Bedir1, Mete Kilciler, Ozan Akay
1Department of Urology, Gülhane Military Medical Academy, School of Medicine, Ankara, Turkey. sbedir@gata.edu.tr
Summary
Prostatic calculi, or prostate stones, can cause urinary obstruction. This case suggests these stones may form due to intraprostatic reflux, with bladder and prostate stones sharing the same origin.
Area of Science:
- Urology
- Nephrology
- Stone Disease
Background:
- Prostatic calculi are common but their etiology remains unclear.
- Urinary obstruction can result from multiple prostatic calculi.
- Concomitant bladder stones may occur with prostatic calculi.
Observation:
- A case of multiple prostatic calculi causing urinary obstruction and a bladder stone was treated endoscopically.
- Endoscopic findings revealed numerous prostatic calculi of varying sizes.
- Some calculi protruded into the urethra, while others filled prostatic cavities.
Findings:
- The presence of prostatic calculi within cavities suggests a possible link to intraprostatic reflux.
- Congenital or acquired diverticula of prostatic tissue may predispose to stone formation.
- The identical stone composition of both prostatic and bladder stones indicates a shared origin.
Implications:
- This case supports the theory that intraprostatic reflux and urine stasis contribute to prostatic calculi formation.
- The findings suggest a potential unified etiology for both prostatic and bladder stones.
- Understanding the origin of prostatic calculi can inform future prevention and treatment strategies.