[Urinary lithiasis after using mechanical suture procedures for Bricker's operation. Apropos of a case]

Area of Science:

• Urology
• Surgical Innovation

Background:

• Bricker's operation is a common procedure for urinary diversion.
• Transintestinal cutaneous anterostomies are a component of this surgery.

Observation:

• A case of urinary tract lithiasis (calculus) formed around a metallic clip.
• The calculus formed after a metallic clip was used for suturing an ileal conduit during Bricker's operation.
• The calculus was spontaneously evacuated through the stoma without complications.

Findings:

• Mechanical suturing with metallic clips in Bricker's operation carries a 2-4% risk of lithiasis.
• The time saved (15-20 minutes) may not outweigh the increased cost and risk of calculus formation.
• The use of mechanical suturing for transintestinal cutaneous anterostomies is questioned.

Implications:

• Consideration should be given to alternative suturing methods to mitigate the risk of urinary tract lithiasis.
• Further research is needed to evaluate the long-term safety and cost-effectiveness of mechanical suturing in Bricker's operations.
• Patient outcomes may be improved by avoiding potential complications associated with metallic clips.