Özet:

Our 67 years old male patient applied to our outpatient clinic with the complaints of dysuria, hematuria and urinary incontinence. A 6X4X5 cm sized giant bladder calculus with irregular borders, and bilateral hydronephrosis were detected in direct urinary system radiography and ultrasonography. The patient underwent diagnostic cystoscopy to eliminate bladder tumor. During the cystoscopy, the giant bladder stone was examined, and several biopsies were taken from the suspicious, papillary and hyperemic regions in the bladder. After the pathological examination of the biopsy materials, which was concordant with the chronic-active inflammation, an open cystolithotomy was performed and 6X4X5 cm sized 300 gr weighted, irregularly shaped bladder calculus was taken out. The control ultrasonography of the patient, who had no postoperative problems, had relief of his symptoms and had a normal urinary output after his urinary catheter has been taken out, showed no residual urine in the bladder and a regression was observed in bilateral hydronephrosis. When this case and the literature are accounted, it is to be considered that the patients having giant bladder calculus could consult to outpatient cilinics due to the urine incontinence and the calculus could cause bilateral hydronephrosis.

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