Prostatic fossa calculus
Yassine El Abiad, Mohammed Alami
The Pan African Medical Journal. 2015;21:236. doi:10.11604/pamj.2015.21.236.7114

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Prostatic fossa calculus

Cite this: The Pan African Medical Journal. 2015;21:236. doi:10.11604/pamj.2015.21.236.7114

Received: 31/05/2015 - Accepted: 21/07/2015 - Published: 31/07/2015

Key words: Calculus, prostatic fossa, endoscopy

© Yassine El Abiad et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/21/236/full

Corresponding author: Yassine El Abiad, Urology Department, My Ismail Military Hospital, Meknès, Morocco (yassineelabiad@gmail.com)


Prostatic fossa calculus

 

Yassine El Abiad1,&, Mohammed Alami1

 

1Urology Department, My Ismail Military Hospital, Meknès, Morocco

 

 

&Corresponding author
Yassine El Abiad, Urology Department, My Ismail Military Hospital, Meknès, Morocco

 

 

Image in medicine

A 70-year-old man presented for evaluation of recurrent urinary tract infection. He had history of hypertension and had undergone suprapubic prostatectomy 8 years ago for enlarged obstructive prostate. Digital rectal examination found a stony irregular prostate and urine culture grew Escherichia Coli that was susceptible to Cephalosporines. As part of the evaluation, a plain radiograph was performed and incidentally showed a radiopaque prostatic calculus (Red arrows). A retrograde urethrocystography, performed after a 10-days course of antibiotics, confirmed the presence of an approximately 35 mm non-obstructive calculus occupying almost the whole prostatic bed (Red arrows) with a stricture of the membranous urethra (Yellow arrow), the bladder however showed no abnormalities (Orange arrows). Stones that form in the prostatic fossa are uncommon but can occur after all forms of prostatectomy. They are caused by a ligature, infection, a chip of prostate left behind in the prostatic bed or as a result of an iatrogenic urethral stricture. A meticulous operative and postoperative care is the best prevention of such a complication. Our patient was treated endoscopically by the combination of urethrotomy and transurethral ultrasonic lithotripsy. At 6 months follow-up, he voided properly and had a sterile urine culture.

 

 

Figure 1: retrograde urethrocystography showing a non obstructive prostatic calculuc

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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