Advertisement

Urological Research

, Volume 39, Issue 4, pp 319–321 | Cite as

The giant calculus within the prostatic urethra

  • Omer DemirEmail author
  • Aykut Kefi
  • Asif Cahangirov
  • Ahmet Cihan
  • Funda Obuz
  • Adil Ahmet Esen
  • Ilhan Celebi
Case Report

Abstract

The giant calculus within the prostatic urethra is a rare clinical entity in the young population. Most of the calculi within the urethra migrate from the urinary bladder and obliterate the urethra. These stones are often composed of calcium phosphate or calcium oxalate. The decision of treatment strategy is affected by the size, shape and position of the calculus and by the status of the urethra. If the stone is large and immovable, it may be extracted via the perineal or the suprapubic approach. In most cases, the giant calculi were extracted via the transvesical approach and external urethrotomy. Our case is the biggest prostatic calculus, known in the literature so far, which was treated endoscopically by the combination of laser and the pneumatic lithotriptor.

Keywords

Urethra Calculi Endoscopic lithotripsy 

References

  1. 1.
    Klimas R, Bennett B, Gardner WA (1985) Prostatic calculi: a review. Prostate 7:91–96PubMedCrossRefGoogle Scholar
  2. 2.
    Kamal BA, Anikwe RM, Darawani H, Hashish M, Taha SA (2004) Urethral calculi: presentation and management. BJU Int 93:549–552PubMedCrossRefGoogle Scholar
  3. 3.
    Menon M, Resnick M (2002) Calculi of the prostate and seminal vesicles; urethral calculi in men. In: Walsh PC (ed) Campbell’s urology, 8th edn. Saunders Inc., Philadelphia, pp 3287–3289Google Scholar
  4. 4.
    Kaplan M, Atakan IH, Kaya E, Aktoz T, Inci O (2006) Giant prostatic urethral calculus associated with urethrocutaneous fistula. Int J Urol 13:643–644PubMedCrossRefGoogle Scholar
  5. 5.
    Ho KL, Segura JW (2007) Calculi of the prostate and seminal vesicles; lower urinary tract calculi. In: Wein AlanJ (ed) Campbell’s urology, 9th edn. Saunders Inc, Philadelphia, pp 2663–2673Google Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Omer Demir
    • 1
    Email author
  • Aykut Kefi
    • 1
  • Asif Cahangirov
    • 1
  • Ahmet Cihan
    • 1
  • Funda Obuz
    • 2
  • Adil Ahmet Esen
    • 1
  • Ilhan Celebi
    • 1
  1. 1.Department of UrologyDokuz Eylul University, School of MedicineInciraltiTurkey
  2. 2.Department of RadiologyDokuz Eylul University, School of MedicineInciraltiTurkey

Personalised recommendations