Giant vesical calculus associated with staghorn calculus

Abstract

Introduction: Large vesical calculi are rare conditions in urology due to the advancement of image exams in the last decade. Urinary bladder stones represent 5% of all urinary tract calculi and large calculi are defined as weighing more than 100 grams. Case Report: We report the case of a 56-year-old man with large vesical calculus measuring 17 × 13 × 16 cm (weight of 2730 g) in association with renal exclusion due to staghorn calculus in the right kidney and bilateral uretero-hydronephrosis due to bladder obstruction. Conclusion: Computed tomography stands as the exam of choice to diagnose and delimit any urinary calculi. Open surgery is preferred for large vesical stones and bladder outlet obstruction must be investigated, especially in men to exclude prostate increase.