Unexpected case of large ureteric calculus being passed following prostatic artery embolisation

Cameron James Parkin; Sukhman Sangha; Jonathan Kam; Glen Schlaphoff; Bertram Canagasingham

doi:10.1016/j.eucr.2020.101546

Unexpected case of large ureteric calculus being passed following prostatic artery embolisation

Urol Case Rep. 2020 Dec 22:35:101546. doi: 10.1016/j.eucr.2020.101546. eCollection 2021 Mar.

Authors

Cameron James Parkin^{1

2}, Sukhman Sangha¹, Jonathan Kam^{1

2}, Glen Schlaphoff³, Bertram Canagasingham¹

Affiliations

¹ Nepean Urology Research Group, Kingswood, NSW, 2747, Australia.
² University of Sydney, Camperdown, NSW, 2006, Australia.
³ Spectrum Interventional Radiology, Sydney Southwest Private Hospital, Liverpool, NSW, 2170, Australia.

Abstract

Spontaneous passage of large ureteric calculi over 10mm is uncommon. We present a case of a 69-year-old male with a significant prostatic enlargement (150 cc) and a 13mm ureteric calculus which had not passed for 3 months following a failed attempt at ureteroscopy. His stone passed spontaneously following prostatic artery embolisation (PAE), performed for symptomatic benign prostatic hypertrophy (BPH). We consider the mechanisms by which PAE may impact on the distal ureter which allowed stone passage.

Publication types

Case Reports