Unusual giant prostatic urethral calculus.
A Bello1, H Y Maitama, N H Mbibu
1Division of Urology, Ahmadu Bello University Teaching Hospital [ABUTH], Shika-Zaria, Nigeria.
Journal of Surgical Technique and Case Report
|November 18, 2011
Summary
Giant vesico-prostatic urethral stones are rare, often linked to strictures or valves. This case reviews the presentation, management, and outcome of a large prostatic urethral calculus causing sepsis and obstruction.
Area of Science:
- Urology
- Nephrology
Background:
- Giant vesico-prostatic urethral calculus is an infrequent clinical presentation.
- Urethral stones typically originate elsewhere and migrate, with primary formation rare and often secondary to underlying pathologies like urethral strictures or posterior urethral valves.
Observation:
- A 32-year-old male presented with a giant vesico-prostatic (collar-stud) urethral stone.
- The patient exhibited symptoms of sepsis and significant bladder outlet obstruction.
Findings:
- The case highlights the challenges in diagnosing and managing large urethral calculi.
- Successful management strategies for such uncommon presentations are crucial for patient outcomes.
Implications:
- This case underscores the importance of considering rare etiologies for bladder outlet obstruction and sepsis.
- Reviewing the clinical course provides valuable insights for urologists managing similar complex cases.
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