ABSTRACT
Prostatic parenchymal calculi are common in ageing men who are evaluated for benign prostatic hyperplasia or prostate cancer. Giant prostatic calculi are very rare, usually associated with local predisposing factors for urinary stasis and infections, and traditionally managed by open surgery. We present the first case of its kind to be associated with a concurrent staghorn nephrolithiasis, and removed successfully by endoscopic approach using an access sheath through the urethra.
Subject(s)
Prostate/pathology , Prostatic Diseases , Urinary Calculi , Endoscopy , Humans , Kidney/pathology , Male , Middle Aged , Prostate/surgery , Prostatic Diseases/surgery , Staghorn Calculi/complications , Urinary Calculi/surgerySubject(s)
Laser Therapy/methods , Ureteroscopy/methods , Urinary Calculi/surgery , Adolescent , Adult , Aged , Female , Follow-Up Studies , Humans , Male , Middle Aged , Operative Time , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
Upper urinary tract (UUT) benign tumours are rare. We present a case of UUT lipoma in a 41-year-old man with left flank pain. A computed tomographic urography scan revealed an irregular thickening of the left renal collecting system wall extending from the upper calices to the renal pelvis. The diagnosis of UUT was made and the patient underwent a nephroureterectomy with bladder cuff excision, as standard treatment. However, macroscopic and histological examination revealed a lipomatous tumour with no sign of malignancy. To our knowledge this is the first reported case of its kind of a UUT managed first with a minimally invasive approach.
