Clinical approach and diagnosing bladder stone in a 74-year-old man patient: a case report


  • I G. N. M. Nurcahya Department of Internal Medicine, Wangaya General Hospital Denpasar, Bali, Indonesia
  • K. Suryana Department of Internal Medicine, Wangaya General Hospital Denpasar, Bali, Indonesia



Bladder stone, Benign prostate hyperplasia, UTI


This article reports a 74-year-old man came to the emergency department with complaint blood in urine, urinary tract symptom such as nocturia, frequency urgency, and cloudy urine. Physical examination showed suprapubic area was hard on palpation. The abdominal X-ray of the patient showed an opaque stone in the bladder. An ultrasound scan showed a multiple bladder stone with the longest stone 1.59 cm in size. Bilateral kidney cyst and the prostate was enlarged with volume ±123.85 cc, IPP 2.29 cm. Entire stone elimination and eradication related BPH and urinary tract infections (UTIs) are the principal goal of the remedy. The patient was treated with Lithotripsy, antibiotics, alpha-blockers, antihypertension medications and showed clinical remission.


Cicione A, DE Nunzio C, Manno S, Damiano R, Posti A, Lima E et al. Bladder stone management: An update. Minerva Urol Nefrol. 2018;70:53 65.

Kalathia J, Patel K, Agrawal S. Giant prostatic and bladder calculi: Endoscopic management and review of the literature. Urol Case Rep. 2020;35:101529.

Sabih A, Leslie SW. Complicated Urinary Tract Infections. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.

Huang W, Cao J, Cao M, Wu HS, Yang Y, Xu Z et al. Risk factors for bladder calculi in patients with benign prostatic hyperplasia. Medicine. 2017;96:32.

Zamzami Z. Penatalaksanaan terkini batu saluran kencing di RSUD Arifin Achmad Pekanbaru, Indonesia: Current management of urinary stones in Arifin Achmad Hospital Pekanbaru, Indonesia. J Kesehatan Melayu. 2018;1(2).

Flannigan R, Choy WH, Chew B. Renal struvite stones-pathogenesis, microbiology, and management strategies. Nat Rev Urol. 2014;11:333-41.

Liu Y, Chen Y, Liao B, Luo D, Wang K, Li H, Zeng G. Epidemiology of Urolithiasis in Asia. Asian J Urol. 2018;205-14.

Michael NG, Baradhi K. Benign Prostatic Hyperplasia. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

Reygaert WC. Urinary Tract Infection. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.

McLellan LK, Hunstad DA. Urinary Tract Infection: Pathogenesis and Outlook. Trends Mol Med. 2016;22(11):946-957.






Case Reports