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Vesical calculus formation on permanent sutures.

Muhammad Rafique1

  • 1Department of Urology, Nishtar Medical College and Hospital, Multan. rafiqanju@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|June 1, 2005
PubMed
Summary

Bladder calculi are rare in adults. This case report details a bladder stone forming on surgical suture material in an elderly man with recurrent urinary tract infections.

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Area of Science:

  • Urology
  • Surgical Pathology

Background:

  • Bladder calculi (bladder stones) are uncommon in adults.
  • Etiologies typically involve urinary tract obstruction or foreign bodies.
  • Recurrent urinary tract infections (UTIs) can be a presenting symptom.

Observation:

  • An elderly male patient presented with recurrent UTIs.
  • Previous medical history included bladder surgery (diverticulectomy) 5 years prior.
  • Investigations identified a significant bladder calculus.

Findings:

  • The bladder calculus had formed on retained permanent suture material from the prior surgery.
  • This represents a rare instance of calculus formation secondary to a surgical foreign body.

Implications:

  • Highlights the potential for delayed complications from surgical materials.
  • Suggests considering retained foreign bodies in the differential diagnosis of bladder stones, especially post-surgery.
  • Emphasizes the importance of meticulous surgical technique and material selection in preventing late urological issues.

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