The patient with prostatic urethral stones of the size mentioned in the case report is very rare, and there is no standard surgical procedure for patients with giant stones in the prostatic urethra.
A 62-year-old male patient presented to the emergency department with complaints of dysuria and hematuria. Computed tomography showed a prostatic urethral stone measuring 78x48x56 mm. Open prostatolithotomy was performed by extending the bladder incision towards the prostate capsule and the stone was removed.
Giant calculi in the prostatic cavity, though uncommon, pose unique diagnostic and management challenges.
This case report presents a rare 78x48x56 mm prostatic urethral stone.
Open prostatolithotomy was successfully performed, offering an alternative to endoscopic methods for large stones.
This report provides valuable insights for urologists faced with similar rare and complex cases.