A Rare Case of a Giant Prostatic Urethral Stone and Its Management

TL;DR

A rare case of a large prostate stone causing severe urinary issues was successfully treated with surgery.

Contribution

Highlights a rare case of a giant prostatic urethral stone and its successful management through surgical intervention.

Findings

A 4 cm prostate stone was found to cause severe lower urinary tract symptoms.

Surgical removal via TURP and Holmium laser lithotripsy resolved the obstruction and symptoms.

The case underscores the importance of considering prostate stones in persistent urinary issues.

Abstract

Prostate calculi, or prostatic stones, are typically small, greyish-brown, ultrasound-dense formations composed mainly of carbonated calcium phosphate apatite. We present a 65-year-old male with severe lower urinary tract symptoms (LUTS), including weak urinary stream, difficulty urinating, and acute retention, who was found to have a 4 cm prostate stone. Imaging confirmed obstruction of the prostatic urethra. Surgical intervention with transurethral resection of the prostate (TURP) and Holmium laser lithotripsy successfully removed the stone and relieved symptoms. This case emphasizes the need to consider prostate stones in severe LUTS when conventional treatments fail, with regular follow-up to monitor recurrence.

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