Authors : Usha Topalkatti; Arun Rathi; Adeeb Afsar; Param Kadam

Volume/Issue : Volume 9 - 2024, Issue 2 - February

Google Scholar : http://tinyurl.com/2s3rzjtn

Scribd : http://tinyurl.com/53msxf9t

DOI : https://doi.org/10.5281/zenodo.10696355

Abstract : Giant obstructing prostatic urethral calculi are a rare but significant entity within the spectrum of lower urinary tract lithiasis. Representing a minute fraction of urinary stone disease cases, these calculi pose unique diagnostic and management challenges. This comprehensive review synthesizes existing literature to provide insights into the epidemiology, etiology, clinical presentation, diagnostic modalities, and treatment options for giant obstructing prostatic urethral calculi. We explore the bimodal age distribution of incidence, highlighting peaks in early childhood and the fourth decade of life, and delve into potential etiological factors including migration from the bladder or upper urinary tracts and de novo formation. Clinical manifestations vary, ranging from acute lower urinary tract symptoms to more insidious presentations associated with anatomical abnormalities. Diagnostic strategies, encompassing imaging modalities and laboratory tests, are crucial for accurate assessment and management planning. Treatment approaches, such as endoscopic lithotripsy, open surgical procedures, and shock wave lithotripsy, are discussed in detail, along with their respective success rates and complications. Through a thorough examination of the current source , this case report aims to enhance understanding and facilitate optimal management strategies for giant obstructing prostatic urethral calculi.

Keywords : Giant Urethral Calculi, Management Strategies , Lower Urinary Tract Lithiasis, Prostatic Urethral Calculi.