Giant bladder calculus with no retention of urine

Farhan Khan,Imtiaz Shah,Mohammad Zaieem,Nandita Mehta,Sarabjit Singh,Tariq Ahmed Mala

doi:10.3329/bjms.v14i1.21573

Abstract

Benign prostatic hyperplasia often produces chronic and progressive lower urinary tract symptoms or complications such as bladder stone, leading to retention of urine and to seek medical attention. Becharetal1 stated giant urinary bladder stone weighing 100 grams or more are uncommon. In our case 162 grams of bladder stone with few another stones about 10-15 grams in the left lower end of ureter were removed. Available treatment options for vesical calculus include open surgical removal, extracorporeal fragmentation and endoscopic crushing. Recently endo-surgical mechanical cystolithotripsy followed by percutaneous extraction has been in clinical practice for small and moderate sized calculus. DOI: http://dx.doi.org/10.3329/bjms.v14i1.21573 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.98-99

Highlights

Benign prostatic hyperplasia often produces chronic and progressive lower urinary tract symptoms or complications such as bladder stone, leading to retention of urine and to seek medical attention
Patient underwent intra venous urogram which confirmed the findings of ultrasound,with multiple stones in left lower ureter with back pressure changes
Patient was subjected to CPE, with 17 F scope which revealed non obstructing prostate small prostate with tight bladder neck and huge bladder calculus, both ureteric orifices could not be seen, with mucosa oedema, bosselated bladder calculus had kept the stone above bladder mucosa at places [Fig : 2]

Summary

Introduction

Benign prostatic hyperplasia often produces chronic and progressive lower urinary tract symptoms or complications such as bladder stone, leading to retention of urine and to seek medical attention. Case presentation A 59 year thin built married male patient, attended urology outpatient department with complaints of on and off increased frequency and urgency for last 6 years. Patient did not give any obstructive symptom or retention of urine. Ultrasound revealed huge bladder calculus 8cm x 6.2cm with multiple acoustic shadows posterior to the main calculus with back pressure changes in left pelvi calcyeal System.

Results

Conclusion