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Related Concept Videos

Urinary Bladder01:23

Urinary Bladder

502
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
502

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Updated: Jun 16, 2025

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Giant urinary bladder stone: A rare case report.

Ganesh Bhakta Acharya1, Suman Baral2, Sunil Man Bijukchhe3

  • 1Department of Urology, Manipal College of Medical Sciences, Pokhara, Nepal.

International Journal of Surgery Case Reports
|August 15, 2024
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Summary

Giant bladder stones are rare, causing severe urinary symptoms. Open cystolithotomy is the preferred treatment for complete removal, offering a near 100% success rate.

Keywords:
CT-KUBCystoscopyGiant urinary bladder stoneOpen cystolithotomy

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Area of Science:

  • Urology
  • Nephrology
  • Surgical Case Reports

Background:

  • Giant bladder stones are uncommon, often linked to chronic urinary tract infections, foreign bodies, or anatomical abnormalities.
  • Symptoms typically manifest over years, including dysuria, urgency, frequency, suprapubic pain, and hematuria.

Observation:

  • A 52-year-old male presented with a decade of severe lower urinary tract symptoms.
  • Imaging revealed a massive vesical calculus (10.6 cm × 8.6 cm × 8.8 cm) and concurrent right hydroureteronephrosis.

Findings:

  • Open cystolithotomy successfully removed the giant bladder stone.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • Open cystolithotomy remains the gold standard for giant bladder stone removal, ensuring complete stone clearance.
  • Prompt diagnosis and management are crucial for preventing complications associated with neglected bladder stones.