Multiple bladder calculi after radical prostatectomy due to bladder neck stenosis in a patient with hypertrophic scar: A case report
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Surgery Case Reports
Abstract
Introduction and importance: Bladder calculi after radical prostatectomy is rare and usually associated with
migrated clips into the bladder forming a nidus. We present a patient with multiple bladder calculi resulting from
bladder neck stenosis after radical prostatectomy causing bothersome lower urinary tract symptoms. He had an
associated hypertrophic scar.
Case presentation: A 60-year-old man of African ancestry presented with recent onset of irritative urinary
symptoms three years after radical prostatectomy. Abdomen pelvic ultrasound and pelvic X-ray revealed a uri nary bladder calculus. Examination of the previous radical prostatectomy scar found him to have a hypertrophic
scar.
He had urethroscopy with bladder neck incision for bladder neck stenosis and cystolithotomy with resolution of
the symptoms.
Clinical discussion: The presentation was that of dysuria and frequency three years after radical prostatectomy.
The cause of the symptoms was diagnosed after an abdomen pelvic ultrasound and pelvic X-ray as multiple
bladder calculi. This is a rare finding with the few reported cases associated with clips that migrated to the
urinary bladder forming a nidus for the calculi. This was of consideration in the case presented, however, the
findings at urethroscopy revealed bladder neck stenosis suggesting stasis as possible cause of the bladder calculi.
The symptoms resolved after bladder neck incision and cystolithotomy.
Conclusion: In addition to clips forming a nidus for calculi in the urinary bladder after radical prostatectomy,
bladder neck stenosis being the cause of urinary bladder calculi should be considered in a patient with hyper trophic scar.
Description
Research Article
Keywords
Prostate cancer, Radical prostatectomy, Bladder calculi