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 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.
Shah
Satyan K
SK
Division of Urology, Loma Linda University Medical Center, Loma Linda, California 92354, USA.
Chau
Minh-Hang T
MH
Schnepper
Gregory D
GD
Lui
Paul D
PD
D002137:Calculi / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011468:Prostatectomy; D011469:Prostatic Diseases / Q000473:pathology / Q000601:surgery*