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Multiple large calculi in a continent urinary reservoir: a case report
V P Khatri1, T Walden, M S Pollack
1Department of Surgery, Easton Hospital, Pennsylvania 18042.
The Journal of Urology
|September 1, 1992
Summary
Continent urinary reservoirs are popular but can cause complications. This case highlights how noncompliance with self-catheterization led to large stones in an ileocecal reservoir, requiring open surgery to prevent infection.
Area of Science:
- Urology
- Surgical Innovation
- Patient Compliance Studies
Background:
- Continent urinary reservoirs are increasingly utilized for urinary diversion.
- Long-term complications associated with these reservoirs necessitate ongoing research and management strategies.
- Ileocecal reservoirs, while common, present specific challenges and potential risks.
Observation:
- A case of massive, multiple stone formation within an ileocecal urinary reservoir is presented.
- The stones developed due to patient noncompliance with intermittent self-catheterization protocols.
- Recurrent urosepsis was a significant clinical manifestation.
Findings:
- Surgical intervention, specifically an open surgical approach, was necessary for complete stone removal.
- The size and multiplicity of the stones posed a significant surgical challenge.
- Successful stone eradication was crucial to resolve the urosepsis.
Implications:
- This case underscores the critical importance of patient adherence to intermittent self-catheterization for preventing reservoir stone formation.
- It highlights the potential for severe complications, including urosepsis, arising from noncompliance.
- The necessity of open surgery for managing large stone burdens in continent urinary reservoirs is demonstrated.