Open Prostatolithotomy for the Management of Giant Prostatic Calculi

Giant prostatic calculi are very rare. We present the case of a 45-year-old man with multiple prostatic urethral calculi that replaced the entire gland. He underwent an open “prostatolithotomy,” a novel method of stone removal akin to a simple retropubic prostatectomy. Eight stones weighing a total...

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Bibliographic Details
Published in:	Urology (Ridgewood, N.J.) Vol. 70; no. 5; pp. 1008.e9 - 1008.e10
Main Authors:	Shah, Satyan K, Chau, Minh-Hang T, Schnepper, Gregory D, Lui, Paul D
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-11-2007
Subjects:	Calculi - pathology Calculi - surgery Humans Male Prostatectomy Prostatic Diseases - pathology Prostatic Diseases - surgery Urology
Online Access:	Get full text
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Summary:	Giant prostatic calculi are very rare. We present the case of a 45-year-old man with multiple prostatic urethral calculi that replaced the entire gland. He underwent an open “prostatolithotomy,” a novel method of stone removal akin to a simple retropubic prostatectomy. Eight stones weighing a total of 59 g were removed from the prostate. For certain patients, adjunctive vesical neck revision and deliberate drainage of the prostatic fossa may be beneficial in addition to stone extraction.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0090-4295 1527-9995
DOI:	10.1016/j.urology.2007.08.018