Giant Prostatic Stones and a Massive Bladder Stone Leading to Obstructive Uropathy: A Rare Case Report
Mohammad Hifzi Mohd Hashim1, Suzliza Shukor1, Muhammad Hasif Azizi1
1Urology Unit, Surgical Department, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus
|September 11, 2023
Summary
Giant prostatic calculi, though rare, were managed in a young male with neurogenic bladder due to spina bifida. Surgical intervention led to successful recovery and improved kidney function.
Area of Science:
- Urology
- Nephrology
- Pediatric Surgery
Background:
- Giant prostatic calculi are exceptionally rare, with fewer than 20 cases documented.
- Neurogenic bladder, often secondary to conditions like spina bifida, can lead to complex urinary tract issues.
- Patient non-compliance with clean intermittent self-catheterization (CISC) can exacerbate bladder dysfunction and stone formation.
Observation:
- A 25-year-old male with a history of spina bifida and hydrocephalus presented with giant prostatic stones and a large bladder stone.
- The patient's non-compliance with CISC contributed to his underlying neurogenic bladder.
- Diagnosis was confirmed via imaging studies and cystoscopy.
Findings:
- Open cystolithotomy was successfully performed for the removal of both prostatic and bladder calculi.
- The patient experienced a favorable postoperative recovery.
- Post-surgical assessment revealed significant improvement in renal function.
Implications:
- This case underscores the association between prostatic calculi and bladder outlet obstruction.
- Addressing underlying conditions, such as neurogenic bladder, is crucial for preventing stone recurrence.
- Open surgery remains a viable option for managing large bladder stones, especially in cases with associated renal impairment.
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