Prostatic Cave Stones Post-Cystolitholapaxy with TURP. A Rare Complication

Author:

Madaka Seham1,Basalat Ward1,Al-Karaja Layth1,Nassar Laith2,Alhashash Khaled2,Asad Diya1,Sneineh Saeda Abu3

Affiliation:

1. Al-Quds University

2. Rafidia governmental hospital

3. National Pirogov Medical University

Abstract

Abstract

Background Prostatic cave stones, also known as prostatic utricular stones, are exceedingly rare complications following transurethral resection of the prostate (TURP) and cystolitholapaxy. These stones form within the prostatic utricle, a remnant of the Mullerian duct within the prostate gland. While TURP and cystolitholapaxy are common procedures for the management of benign prostatic hyperplasia (BPH) and bladder stones respectively, the occurrence of post-procedure prostatic cave stones is uncommon and not well documented in the literature. We report the rare development of prostatic cave stones following a combined cystolitholapaxy and transurethral resection of the prostate (TURP) procedure. Case presentation: a 55-year-old male patient with a history of recurrent kidney stones, urinary symptoms, and multiple different surgical interventions. He developed urinary bladder stones which required cystolitholapaxy and during the procedure partial prostate resection was performed via transurethral resection of the prostate (TURP) due to enlargement. As a result of this combined surgical procedure prostatic cave stones were formed. Conclusion Rare complications, such as prostatic cave stones, may occur post-urologic operatives, which require clinicians’ attention and consideration. This highlights the importance of recognizing and managing rare complications to ensure optimal patient care.

Publisher

Springer Science and Business Media LLC

Reference17 articles.

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2. M. (n.d.). Transurethral Resection of the Prostate;Professional CC;Clevel Clin

3. Prostatic resection cavity large stone post transurethral resection of the prostate (TURP). A rare case scenario;Taha DE;Int J Surg Case Rep,2021

4. SpU FR. (2024, May 10). PREVALENCE OF URINARY TRACT STONES IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA (BPH) UNDERGOING TRANS URETHRAL RESECTION OF THE PROSTATE (TURP) OPERATION | Indonesian Journal of Urology. https://juri.urologi.or.id/juri/article/view/959.

5. Synchronous transurethral cystolitholapaxy and TURP reveals better results than transurethral cystolitholapaxy plus medical therapy for BPH: a randomized prospective study on 100 patients with concomitant urinary bladder stone(s) and BPH;Hasan AM;World J Urol,2022

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