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Delivery of a massive urinary stone from an augmented bladder using obstetrical forceps.
Duncan R Morhardt1, Lindsey Cox, John T Stoffel
1University of Michigan, Ann Arbor, Michigan, USA.
A large bladder augment calculus was successfully removed using obstetric forceps. This innovative technique managed a massive 1110-gram stone in a patient with a history of Fournier's gangrene and augmentation cystoplasty.
Area of Science:
- Urology
- Surgical Innovation
- Nephrolithiasis Management
Background:
- Patient history includes Fournier's gangrene and augmentation cystoplasty for urethral stricture.
- Development of a large bladder augment calculus (14 cm x 18 cm) causing an expanding abdominal mass.
- Previous management strategies for such large stones in augmented bladders are limited.
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