Accidental prostatic stone finding after urinary catheterization failure during hernia surgery

Authors

  • Kostas Chondros Department of Urology, General Hospital of Rethymnon, Rethymnon, Greece http://orcid.org/0000-0003-1038-0601
  • Victoria Mari Department of General Surgery, General Hospital of Rethymnon, Rethymnon, Greece
  • Georgios Lianeris Department of General Surgery, General Hospital of Rethymnon, Rethymnon, Greece
  • Sevasti Hatzikosta Department of Anesthesiology, General Hospital of Rethymnon, Rethymnon, Greece
  • Marina Kalogridaki Department of Anesthesiology, General Hospital of Rethymnon, Rethymnon, Greece
  • Konstantinos Graikos Department of Urology, General Hospital of Rethymnon, Rethymnon, Greece

DOI:

https://doi.org/10.18203/2349-2902.isj20185491

Keywords:

Cystolithotripsy, Prostatic stone, Prostate enucleation, Urethral stone, Urinary obstruction, Urinary catheterization

Abstract

Urethral stones represent a rare cause of urinary obstruction and they are usually symptomatic. In older patients with bladder outlet obstruction, bladder stones are commonly found and managed accordingly. Intraprostatic stone formation is also a common finding in men with benign prostate hyperplasia but rarely is it a factor for obstruction. On the contrary, large stone formation in the prostatic urethra is a rare entity, and patients present with hematuria, dysuria, infection or retention in most of the cases. Patients previously submitted to urological procedures such as prostatectomy or lithotripsy, are at high risk of developing late complications and need a long follow-up. In cases with obstruction due to urethral stones the management is straightforward but in asymptomatic patients the diagnosis is usually missed or delayed. Therefore, careful evaluation of the patient is essential in order to prevent any unwanted situation such as catheterization failure. Authors’ present a case of an 82-year-old male who accidentally diagnosed with a large stone impacted in the prostatic cavity after urinary catheterization failure during a scheduled open hernia repair surgery. The patient had a history of previous open prostatectomy and he was completely asymptomatic. An emergency cystoscopic evaluation revealed the cause of the prostatic urethral obstruction. The urinary stone was subsequently managed endoscopically on the spot.

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References

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Published

2018-12-27

How to Cite

Chondros, K., Mari, V., Lianeris, G., Hatzikosta, S., Kalogridaki, M., & Graikos, K. (2018). Accidental prostatic stone finding after urinary catheterization failure during hernia surgery. International Surgery Journal, 6(1), 296–298. https://doi.org/10.18203/2349-2902.isj20185491

Issue

Section

Case Reports