Cystolithiasis in a Man With Painless Gross Hematuria

A robust 80-year-old male on active surveillance for low-risk adenocarcinoma of the prostate developed painless gross hematuria. He reported minimal to moderate lower urinary tract symptoms with an American Urologic Association symptom score of 10 and a quality of life score of 2.

He does not use any medications for benign prostatic hyperplasia (BPH). His physical exam is unremarkable. His ...