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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jul 20, 2026

Urinary Bladder Distention Evoked Visceromotor Responses as a Model for Bladder Pain in Mice
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Multiple Large Prostatic Stones Causing Chronic Pelvic Pain: A Case Report.

Ajay Nimbalkar1, Vinal More1, Sony Mehta2

  • 1General Surgery, Mumbai Port Trust Hospital, Mumbai, IND.

Cureus
|February 2, 2022
PubMed
Summary

Prostatic stones, though often asymptomatic, can worsen chronic pelvic pain syndrome by increasing inflammation and symptom duration. This case highlights endoscopic management for a patient with large prostatic stones and bladder diverticula.

Keywords:
bladder diverticulachronic pelvic painchronic pelvic pain syndromelower urinary tract symptomsprostate stones

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Area of Science:

  • Urology
  • Andrology
  • Medical Case Reports

Background:

  • Prostatic stones are typically asymptomatic, often discovered incidentally during evaluations.
  • The role of prostatic stones in urological symptoms and chronic pelvic pain syndrome (CPPS) remains incompletely understood.
  • While considered rare, prostatic stones are observed in a significant number of CPPS patients.

Observation:

  • A 70-year-old male presented with lower urinary tract symptoms and chronic pelvic pain.
  • The patient had large, multiple prostatic stones and urinary bladder diverticula.
  • These findings suggest a potential association between prostatic calculi, bladder abnormalities, and chronic pelvic pain.

Findings:

  • Prostatic stones may contribute to increased inflammation and prolonged symptoms in patients with chronic pelvic pain syndrome.
  • The presence of large prostatic stones and bladder diverticula can manifest as significant lower urinary tract symptoms.
  • This case underscores the complexity of conditions involving prostatic stones.

Implications:

  • Further research is needed to elucidate the precise mechanisms by which prostatic stones influence CPPS.
  • Endoscopic management may be a viable option for patients with symptomatic prostatic stones and associated bladder pathologies.
  • Understanding the interplay between prostatic stones, inflammation, and pelvic pain is crucial for effective patient care.