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Published on: December 20, 2014
Giant Ureteric Calculus in a Patient With Bladder Exstrophy.
Surya Prakash Vaddi1, Seshu Mohan1, Satish Reddy1
1Virinchi Hospitals, Hyderabad, Telangana, India.
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.
- 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.
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