Abstract
Bladder calculi in elderly are thought to be commonly associated with presence of bladder outlet obstruction. However there is a role of systemic factors in pathogenesis of calculi. It is clear that enlarged prostate may be an innocent bystander in many elderly patients having bladder calculi. There are varieties of options available for management of both these conditions. The present review is focused on understanding of pathogenesis of bladder calculi in elderly male. It also provides an overview of various treatment modalities described in literature for management of this condition. Approach in each case should be individualized based on the patient's clinical criteria and his choice, availability of various endourological gadgets, surgical expertise and experience.