Nurcahya, I. G. N. M.Suryana, K.2023-08-282023-08-282022-11Nurcahya I. G. N. M., Suryana K.. Clinical approach and diagnosing bladder stone in a 74-year-old man patient: a case report. International Journal of Advances in Medicine. 2022 Nov; 9(11): 1137-11392349-39332349-3925http://imsear.searo.who.int/handle/123456789/225915This article reports a 74-year-old man came to the emergency department with complaint blood in urine, urinary tract symptom such as nocturia, frequency urgency, and cloudy urine.Physical examination showed suprapubic area was hard on palpation. The abdominal X-ray of the patient showed an opaque stone in the bladder. An ultrasound scan showed a multiple bladder stone with the longest stone 1.59 cm in size. Bilateral kidney cyst and the prostate was enlarged with volume �3.85 cc, IPP 2.29 cm. Entirestoneeliminationand eradicationrelatedBPH and urinary tract infections (UTIs) arethe principalgoalof theremedy. The patient was treated with Lithotripsy, antibiotics, alpha-blockers, antihypertension medications and showed clinical remission.Bladder stoneBenign prostate hyperplasiaUTIJournal ArticleIndiaDepartment of Internal Medicine, Wangaya General Hospital Denpasar, Bali, Indonesia