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Giant Ureteric Calculus in a Patient With Bladder Exstrophy.

Surya Prakash Vaddi1, Seshu Mohan1, Satish Reddy1

  • 1Virinchi Hospitals, Hyderabad, Telangana, India.

Urology
|August 6, 2018
PubMed
Summary

A giant ureteric calculus, measuring 16 cm, was found in an adult male with bladder exstrophy. The stone was successfully removed using open ureterolithotomy.

Area of Science:

  • Urology
  • Nephrology
  • Surgical Case Reports

Background:

  • Bladder exstrophy is a rare congenital anomaly with potential urinary complications.
  • Giant ureteric calculi are uncommon and pose significant management challenges.
  • Urinary incontinence and recurrent urinary tract infections can be associated with complex urological conditions.

Purpose of the Study:

  • To report a unique case of a giant ureteric calculus in a patient with bladder exstrophy.
  • To highlight the diagnostic findings and successful surgical intervention.
  • To contribute to the literature on managing complex stone disease in patients with congenital anomalies.

Main Methods:

  • A comprehensive diagnostic workup including imaging studies to identify the calculus size and location.

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  • Surgical intervention involving open ureterolithotomy for calculus removal.
  • Post-operative monitoring for complications and recovery.

    • Main Results:

    • A 16-cm giant ureteric calculus was identified.
    • Associated vesical and left staghorn renal calculi were also present.
    • Successful removal of the ureteric calculus via open ureterolithotomy was achieved.

    Conclusions:

    • Giant ureteric calculi in the context of bladder exstrophy are rare but manageable.
    • Open ureterolithotomy can be an effective treatment for large ureteric stones.
    • Multifaceted stone burden requires thorough investigation and tailored surgical approach.