Urethral obstruction secondary to an intraprostatic stent.

1 of 2 DESCRIPTION An 82-year-old male presented to the Emergency Department secondary to urinary incontinence. He was systemically well. He had a background of prostate cancer diagnosed and treated with brachytherapy 17 years ago. He reported having undergone a cystoscopic procedure 3 years ago for treatment of acute urinary retention. Since this procedure, he had suffered from progressively worsening urinary incontinence. All prior medical treatment was in a foreign country. Renal function was within normal limits. His PSA was measured at <0.02 ng/ml. Bladder scan showed approximately 100 ml of urine within the bladder. Attempts at urethral catheterisation failed. Plain fi lm of the abdomen showed a grossly calcifi ed intraprostatic urethral stent ( fi gure 1 ). 1 He proceeded to undergo laser destruction of his heavily calcifi ed intraprostatic stent. There was no evidence of prostatic tissue ingrowth or bladder mucosal abnormality. The stent dislodged intra-operatively and migrated to the bladder. It was removed via a suprapubic cystotomy ( fi gures 2 and 3 ). He made a good postoperative recovery. His urinary incontinence persisted and was managed with containment devices. He refused any further intervention. Images in...