title: Radical prostatectomy as unique chance for huge prostatic stones.
abstract: Prostatic calculi occur very often in men, but exceptionally they cause an almost total destruction of the prostatic parenchyma. Preferred treatment in order to obtain complete resolution is either transurethral resection or suprapubic simple prostatectomy. We report for the first time a radical prostatectomy as a unique chance for huge prostatic stones in a 56-years old man with severe urinary symptoms. We perform a retropubic radical prostatectomy using a nerve sparing technique. There were no intraoperative or postoperative complications. Though radical prostatectomy is an invasive approach to treat a young man affected by prostatic stones and without prostate cancer, we chose to perform it because of the impossibility to obtain complete recovery with transurethral or suprapubic simple prostatectomy.
authors.affiliation: Department of Urology, University of Rome Tor Vergata, Rome, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Virgili
authors.forename: Flavio
authors.initials: F
authors.lastname: Forte
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sansalone
authors.forename: Francesco
authors.initials: F
authors.lastname: Attisani
authors.forename: Andrea
authors.initials: A
authors.lastname: De Carolis
authors.forename: Savino Mauro
authors.initials: SM
authors.lastname: Di Stasi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Vespasiani
mesh_terms: D002137:Calculi / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods; D011469:Prostatic Diseases / Q000473:pathology / Q000601:surgery*