Intravesical calculus secondary to ethanol gel injection into the prostate

A 78-year-old man with coagulopathy and lower urinary tract symptoms secondary to benign prostatic hyperplasia underwent transurethral prostate ethanol gel injection. Six months after the injection, the patient presented with irritative symptoms and hematuria. Ultrasonography revealed a 5-cm intrave...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2005-05, Vol.65 (5), p.1002-1002
Main Authors: Ikari, Osamu, Leitão, Victor Augusto, D’ancona, Carlos Arturo Levi, Matheus, Wagner Eduardo, Rodrigues Netto, Nelson
Format: Article
Language:English
Subjects:
Aged
Ethanol - administration & dosage
Ethanol - adverse effects
Gels - administration & dosage
Gels - adverse effects
Humans
Injections - adverse effects
Male
Prostate
Prostatic Hyperplasia - complications
Prostatic Hyperplasia - therapy
Urinary Bladder Calculi - etiology
Urinary Bladder Neck Obstruction - etiology
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Summary:A 78-year-old man with coagulopathy and lower urinary tract symptoms secondary to benign prostatic hyperplasia underwent transurethral prostate ethanol gel injection. Six months after the injection, the patient presented with irritative symptoms and hematuria. Ultrasonography revealed a 5-cm intravesical calculus. Cystolitholapaxy was unsuccessful, and the patient underwent cystolithotomy with retrieval of a large, soft, round, brownish mass. Histologic examination of the mass demonstrated prostatic hyperplastic glandular stroma with extensive coagulate necrosis and peripheral calcification. To our knowledge, this is the first report of a calculus formed by prostatic tissue slosh after ethanol injection.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2004.12.007