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Published on: March 6, 2018
Open prostatolithotomy for the management of giant prostatic calculi
Satyan K Shah1, Minh-Hang T Chau, Gregory D Schnepper
1Division of Urology, Loma Linda University Medical Center, Loma Linda, California 92354, USA.
Abstract:
Giant prostatic calculi are very rare. We present the case of a 45-year-old man with multiple prostatic urethral calculi that replaced the entire gland. He underwent an open "prostatolithotomy," a novel method of stone removal akin to a simple retropubic prostatectomy. Eight stones weighing a total of 59 g were removed from the prostate. For certain patients, adjunctive vesical neck revision and deliberate drainage of the prostatic fossa may be beneficial in addition to stone extraction.
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