Description

ABSTRACT

Introduction: Huge bladder calculi in present day urological practice is rare due to awareness, early presentation and avoidance of aetiological factors ranging from diet and anatomical abnormalities just to mention a few. Aim: To report a giant intravesical stone, which turned out to be the biggest seen in the region of Nigeria. Method: A 67 years old male farmer who presented with lower urinary symptoms of one year duration and inability of passing urine of 6 hours prior to presentation. A clinical diagnosis of
benign prostatic enlargement and urethral stricture was made following clinical and radiological investigations of ultrasound scan and urethrogram. X-ray revealed a huge calcific density occupying the whole of the bladder. Patient’s electrolyte, urea, and creatinine (E/U/Cr) were deranged. Results: Patient subsequently had a direct vision internal urethrotomy for urethral stricture and an open cystolitothomy for huge bladder stone with dimension of 22 cm by 16 cm which weighed 2.1 kilograms. In the same
surgery an open prostatectomy was done. Conclusion: This case report revealed that the giant bladder calculi grew to this size because the patient delayed his treatment due to financial constraints. For better outcome early presentation to the urologist remains key to favorable outcome.

 Keywords: Cystolithotomy, Intravesical stone, Urethrotomy, Benign prostatic, Urethrogram