Cystolithiasis with concentric mural calcification following transurethral microwave thermotherapy.

摘要

A 79-year-old male presented with a 1 Vz-yeetr history of gross hematuria and slowly increasing irritative voiding symptoms including frequency (up to every 10 minutes), nocturia and urinary incontinence. The patient did not have any significant travel history and did not pass visible amounts of stone material in urine.Prior history is significant for computerized tomography of the abdomen/pelvis that was performed approximately 1 year previously. It failed to demonstrate bladder calcifications but revealed a mildly thickened bladder wall and enlarged prostate. Subsequent cystoscopy similarly found no bladder stones or tumor and only mild bladder trabeculation. The patient underwent transurethral microwave thermotherapy for bladder outlet obstruction, and was seen 5 months later in the emergency department with the presence of left hydronephro-sis, hydroureter and a calcified bladder wall.