# An unusual cause of recurrent urinary tract infection in a male patient and diagnostic challenge: a case report

## TL;DR

A 42-year-old man with recurring urinary tract infections was found to have giant bladder stones, highlighting the need for thorough diagnostics in male UTI cases.

## Contribution

This case report presents a rare instance of male UTI caused by bladder stones without prostate enlargement in a resource-limited setting.

## Key findings

- Recurrent UTI in a male patient was caused by two giant bladder stones.
- Proper imaging is crucial for diagnosing UTI in males with persistent symptoms.
- Bladder stones can be an overlooked cause of UTI in adult males.

## Abstract

Approximately 5 % of all urological stones are attributed to bladder stones. Several risk factors are associated with the development of bladder stones including urinary stasis. Conditions such as benign prostate hypertrophy may cause bladder stones to develop in males. This is a unique cause of urinary tract infection without prostate enlargement resulting in a giant bladder stone in male patient.

A 42-year-old male patient presented with complaints of on and off lower abdominal pains for more than 2 months associated with frequent urination. He has been treated multiple times for urinary tract infection without success.

Urinary tract infection in male patients, especially adults is a rare entity. This is a case of recurrent UTI resulting from two giant bladder stones in resource-limited settings.

Urinary tract infections in males should not be overlooked. Hidden predisposing factors such as bladder stones may result in this entity. Proper imaging modalities including plain radiographs should be used as the initial management plan for males presenting with features suggestive of urinary tract infection.

•This is a case of recurrent UTI in an adult male patient treated without success.•This article highlights the importance of using more than one diagnostic criteria in male patients thought to have lower urinary tract symptoms.

This is a case of recurrent UTI in an adult male patient treated without success.

This article highlights the importance of using more than one diagnostic criteria in male patients thought to have lower urinary tract symptoms.