Mohd Hashim Mohammad Hifzi, Shukor Suzliza, Azizi Muhammad Hasif
Urology Unit, Surgical Department, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2023 Aug 8;15(8):e43176. doi: 10.7759/cureus.43176. eCollection 2023 Aug.
Giant prostatic calculi are rare with less than 20 cases reported in the literature so far. Here, we discuss the presentation, diagnosis, and surgical management of a 25-year-old male patient with giant prostatic stones associated with a large bladder stone resulting from an underlying neurogenic bladder secondary to spina bifida. The patient had a history of congenital spina bifida, hydrocephalus, and non-compliance with clean intermittent self-catheterization. The stones were diagnosed through imaging and cystoscopy, and open cystolithotomy was performed for stone removal. The patient had a successful postoperative recovery with improved renal function. The case highlights the association between prostatic calculi and bladder outlet obstruction, emphasizes the importance of addressing underlying conditions to prevent stone recurrence, and underscores the role of open surgery in managing large bladder stones accompanied by renal impairment.
巨大前列腺结石较为罕见，迄今为止文献报道的病例不足20例。在此，我们讨论一名25岁男性患者的临床表现、诊断及手术治疗情况，该患者患有巨大前列腺结石，并伴有因脊柱裂继发神经源性膀胱导致的巨大膀胱结石。患者有先天性脊柱裂、脑积水病史，且未坚持清洁间歇性自家导尿。通过影像学检查和膀胱镜检查诊断出结石，并实施了开放性膀胱切开取石术以取出结石。患者术后恢复良好，肾功能得到改善。该病例突出了前列腺结石与膀胱出口梗阻之间的关联，强调了治疗潜在疾病以预防结石复发的重要性，并凸显了开放性手术在处理伴有肾功能损害的巨大膀胱结石中的作用。
