A 83-year-old man was admitted because of fever and painful swelling of the right scrotal contents on January 23, 1989. Kidney-ureter-bladder X-ray (KUB) showed multiple big prostatic calculi which were compressed postero-laterally by benign prostate hyperplasia (BPH) according to the CT film. UCG film revealed urethral stricture in the anterior urethra. He was diagnosed as having right epididymitis, urethral stricture, BPH and giant prostatic calculi. He was treated with right orchiectomy, urethral bougie and suprapubic prostatectomy with removal of the calculi. The total weight of the prostatic calculi was 28 g of consisted of 125 pieces. The postoperative course was uneventful and two years after the operation he has been well and free from evident disease.