Giant Prostatic Calculus Associated with Giant Urethral Calculus

We report 2 cases of giant prostatic calculi associated with giant renal calculi. Both patients were advanced in age and had a long history of urethral strictures and urinary tract infection. They were anemic and their serum creatinine levels were also raised. Diagnosis in both cases was made by rectal examination, and confirmed by plain radiography. Treatment was by suprapubic cystolithotomy preceded by retrograde manipulation of the urethral calculi after control of their urinary tract infection. Both patients made an uneventful recovery, and required regular dilatations of their urethral strictures.