Abstract
Hourglass-shaped vesicoprostatic calculi have been reported as a late complication of prostatectomy and in association with chronic urinary tract infections in young men. The accepted treatment for these calculi has been removal by suprapubic cystostomy. We present a case of a large hourglass-shaped vesicoprostatic calculus managed with a combination of laser and electrohydraulic lithotripsy. Endoscopic management in such cases may result in fewer complications and a shorter hospital stay.
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