Urology Case Reports (Mar 2021)

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

  • Cameron James Parkin,
  • Sukhman Sangha,
  • Jonathan Kam,
  • Glen Schlaphoff,
  • Bertram Canagasingham

Journal volume & issue
Vol. 35
p. 101546

Abstract

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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.