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Recurrent giant neobladder calculus extrusion after bladder exstrophy repair.
Thiago Guimarães1, Fátima Alves2, Hugo Pinheiro1
1Urology Department Centro Hospitalar Universitário de Lisboa Central Lisbon Portugal.
Patients with bladder exstrophy undergoing surgery face a risk of urinary calculus. This case highlights the recurrence of large calculus extrusion, emphasizing the need for close follow-up in these patients.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Bladder exstrophy is a congenital condition requiring complex reconstructive surgery.
- Patients undergoing such procedures are susceptible to developing urinary calculus (stones).
Observation:
- A 29-year-old male with a history of bladder exstrophy presented with recurrent calculus extrusion through his neobladder and abdominal wall.
- The patient had undergone calculus removal and reconstructive surgery nine years prior.
Findings:
- The patient experienced a recurrence of a large neobladder calculus extrusion.
- This case illustrates a significant challenge in managing bladder exstrophy complications.
Implications:
- Recurrent large calculus formation necessitates vigilant monitoring in bladder exstrophy patients.
- Close follow-up is crucial for early detection and management of urinary calculus in this population.
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