title: Stress urinary incontinence as a rare presentation of large prostatic stones in neurogenic bladder: implications and management.
abstract: We report a case of a 38-year-old man with a background of a neglected neurogenic bladder, who presented with a recent onset history of stress urinary incontinence. He was diagnosed as having large prostatic stones along with a low-compliance, small capacity bladder and bilateral hydronephrosis with deranged renal functions. As self-catheterisation was not possible due to obstructing prostatic stones, holmium-YAG laser lithotripsy of prostatic stones was performed as initial procedure that resulted in complete resolution of stress incontinence as well. Successful gastrocystoplasty was performed as a second step to deal with the underlying condition of neurogenic poorly compliant bladder. The present case describes the successful endoscopic management of prostatic calculi using holmium-laser lithotripsy and draws attention to other important issues that need to be addressed in certain special situations like neurogenic bladder.
authors.affiliation: Department of Urology, King George's Medical University, Lucknow, Utter Pradesh, India.
authors.forename: Neeraj Kumar
authors.initials: NK
authors.lastname: Goyal
authors.forename: Apul
authors.initials: A
authors.lastname: Goel
authors.forename: Satyanarayan
authors.initials: S
authors.lastname: Sankhwar
mesh_terms: D000328:Adult; D002137:Calculi / Q000150:complications* / Q000628:therapy; D006801:Humans; D008096:Lithotripsy; D008297:Male; D011469:Prostatic Diseases / Q000150:complications / Q000628:therapy; D001750:Urinary Bladder, Neurogenic / Q000150:complications*; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000209:etiology