Tags

Type your tag names separated by a space and hit enter

[Giant prostatic calculus with neurogenic bladder disease and prostate diverticulum: a case report and review of the literature].
Zhonghua Nan Ke Xue. 2013 Feb; 19(2):144-8.ZN

Abstract

OBJECTIVE

To study the etiology, clinical manifestation, diagnosis and treatment of giant prostatic calculus with neurogenic bladder disease and prostate diverticulum.

METHODS

We retrospectively analyzed the clinical data of a case of giant prostatic calculus with neurogenic bladder disease and prostate diverticulum and reviewed the relevant literature. The patient was a 37-year-old man, with urinary incontinence for 22 years and intermittent dysuria with frequent micturition for 9 years, aggravated in the past 3 months. He had received surgery for spina bifida and giant vesico-prostatic calculus. The results of preoperative routine urinary examination were as follows: WBC 17 -20/HPF, RBC 12 - 15/HPF. KUB, IVU and pelvic CT revealed spina bifida occulta, neurogenic bladder and giant prostatic calculus.

RESULTS

The patient underwent TURP and transurethral lithotripsy with holmium-YAG laser. The prostatic calculus was carbonate apatite in composition. Urinary dynamic images at 2 weeks after surgery exhibited significant improvement in the highest urine flow rate and residual urine volume. Seventeen months of postoperative follow-up showed dramatically improved urinary incontinence and thicker urine stream.

CONCLUSION

Prostate diverticulum with prostatic giant calculus is very rare, and neurogenic bladder may play a role in its etiology. Cystoscopy is an accurate screening method for its diagnosis. For the young patients and those who wish to retain sexual function, TURP combined with holmium laser lithotripsy can be employed, and intraoperative rectal examination should be taken to ensure complete removal of calculi.

Authors+Show Affiliations

Tianjin Institute of Urology, Tianjin Key Laboratory of Urology, Department of Urology, The Second Hospital of Tianjin Medical University, Tianjin 300211, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

chi

PubMed ID

23441456

Citation

Li, Xiao-Shi, et al. "[Giant Prostatic Calculus With Neurogenic Bladder Disease and Prostate Diverticulum: a Case Report and Review of the Literature]." Zhonghua Nan Ke Xue = National Journal of Andrology, vol. 19, no. 2, 2013, pp. 144-8.
Li XS, Quan CY, Li G, et al. [Giant prostatic calculus with neurogenic bladder disease and prostate diverticulum: a case report and review of the literature]. Zhonghua Nan Ke Xue. 2013;19(2):144-8.
Li, X. S., Quan, C. Y., Li, G., Cai, Q. L., Hu, B., Wang, J. W., & Niu, Y. J. (2013). [Giant prostatic calculus with neurogenic bladder disease and prostate diverticulum: a case report and review of the literature]. Zhonghua Nan Ke Xue = National Journal of Andrology, 19(2), 144-8.
Li XS, et al. [Giant Prostatic Calculus With Neurogenic Bladder Disease and Prostate Diverticulum: a Case Report and Review of the Literature]. Zhonghua Nan Ke Xue. 2013;19(2):144-8. PubMed PMID: 23441456.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Giant prostatic calculus with neurogenic bladder disease and prostate diverticulum: a case report and review of the literature]. AU - Li,Xiao-Shi, AU - Quan,Chang-Yi, AU - Li,Gang, AU - Cai,Qi-Liang, AU - Hu,Bin, AU - Wang,Jiu-Wei, AU - Niu,Yuan-Jie, PY - 2013/2/28/entrez PY - 2013/2/28/pubmed PY - 2013/10/31/medline SP - 144 EP - 8 JF - Zhonghua nan ke xue = National journal of andrology JO - Zhonghua Nan Ke Xue VL - 19 IS - 2 N2 - OBJECTIVE: To study the etiology, clinical manifestation, diagnosis and treatment of giant prostatic calculus with neurogenic bladder disease and prostate diverticulum. METHODS: We retrospectively analyzed the clinical data of a case of giant prostatic calculus with neurogenic bladder disease and prostate diverticulum and reviewed the relevant literature. The patient was a 37-year-old man, with urinary incontinence for 22 years and intermittent dysuria with frequent micturition for 9 years, aggravated in the past 3 months. He had received surgery for spina bifida and giant vesico-prostatic calculus. The results of preoperative routine urinary examination were as follows: WBC 17 -20/HPF, RBC 12 - 15/HPF. KUB, IVU and pelvic CT revealed spina bifida occulta, neurogenic bladder and giant prostatic calculus. RESULTS: The patient underwent TURP and transurethral lithotripsy with holmium-YAG laser. The prostatic calculus was carbonate apatite in composition. Urinary dynamic images at 2 weeks after surgery exhibited significant improvement in the highest urine flow rate and residual urine volume. Seventeen months of postoperative follow-up showed dramatically improved urinary incontinence and thicker urine stream. CONCLUSION: Prostate diverticulum with prostatic giant calculus is very rare, and neurogenic bladder may play a role in its etiology. Cystoscopy is an accurate screening method for its diagnosis. For the young patients and those who wish to retain sexual function, TURP combined with holmium laser lithotripsy can be employed, and intraoperative rectal examination should be taken to ensure complete removal of calculi. SN - 1009-3591 UR - https://www.unboundmedicine.com/medline/citation/23441456/[Giant_prostatic_calculus_with_neurogenic_bladder_disease_and_prostate_diverticulum:_a_case_report_and_review_of_the_literature]_ L2 - https://medlineplus.gov/prostatediseases.html DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.