Samer Al-Rawashdah
1* 
, Saddam Al Demour
2 , Ismail J Nassar
3, Mohammad Talal Al-Zubi
4 , Antonio Carbone
5, Antonio L. Pastore
5, Malik Ayyad
1 1 Department of Special Surgery, Urology Unit, Faculty of Medicine, Mutah University, Al-Karak 61710, Jordan
2 Department of Special Surgery, Division of Urology, Faculty of Medicine, The University of Jordan, Amman 11972, Jordan
3 Department of Radiology, Al-Essra Hospital, Amman, Jordan
4 Department of Urology, School of Medicine, Yarmouk University, Irbid 21110, Jordan
5 Unit of Urology, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome, Latina, Italy
Abstract
Giant urinary bladder stones (UBSs) are a rare occurrence in urological practice. Reports documenting cases of giant bladder stones presenting with mild lower urinary tract symptoms (LUTS) and microscopic hematuria are limited in the literature. A 43-year-old male visited the urology clinic with mild LUTS persisting for a year. Laboratory investigations, including urinalysis, revealed microscopic hematuria without any other abnormalities. Imaging through ultrasound and non-contrast computed tomography confirmed the presence of a large bladder stone occupying a significant portion of the bladder. The patient underwent suprapubic cystolithotomy, during which a calcium oxalate stone measuring 9×8×5 cm and weighing 150 g was successfully removed. His postoperative course was uneventful. Giant UBS is an uncommon condition, particularly in younger males. Its clinical presentation varies from being asymptomatic to causing severe LUTS, hematuria, and dysuria. While minimally invasive approaches exist, open cystolithotomy remains the preferred treatment for managing giant bladder stones effectively.