11 year old, MN (I need to check date of castration, but likely when young). History of chronic hematuria, stranguria, tenesmus and small feces.  Weigh loss and apathy. UA: calcium oxalate crystals.

-Prostate area has what it appears like a cystic structure with calculi. No much (mild) regional inflammation. Medial iliac Lns WNL. kidneys quite WNL (small mineralized focci-1 small 0.17cm calculus; mild hypoechoic outer cortex-hyperechoic medullary band). Left adrenal plump 0.7cr pole, 0.57 cd pole. Spleen Liver normal.

11 year old, MN (I need to check date of castration, but likely when young). History of chronic hematuria, stranguria, tenesmus and small feces.  Weigh loss and apathy. UA: calcium oxalate crystals.

-Prostate area has what it appears like a cystic structure with calculi. No much (mild) regional inflammation. Medial iliac Lns WNL. kidneys quite WNL (small mineralized focci-1 small 0.17cm calculus; mild hypoechoic outer cortex-hyperechoic medullary band). Left adrenal plump 0.7cr pole, 0.57 cd pole. Spleen Liver normal.

-What differentials would be for prostate in a neutered patient other than neoplasia? It appears low vascularized. Abscess? paraprostatic cyst? what can we do with those intraprostatic stones?

thanks for your input.