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Unforeseen Encounters: Managing Intravesical Drains and Secondary Bladder Stones in Clinical Practice
Rinki K Meena1, Sushanto Neogi2, Kishor M2,1
1Department of General Surgery, Maulana Azad Medical College, New Delhi, IND.
Cureus
|September 19, 2024
Summary
A retained bladder drain caused stones and an abscess in a diabetic patient. Prompt surgical removal resolved symptoms and improved kidney function, highlighting the need for careful drain management.
Area of Science:
- Urology
- Nephrology
Background:
- Secondary bladder stones are often linked to bladder outlet obstruction, neurogenic bladder, or foreign bodies.
- Type 2 diabetes mellitus can be a comorbidity in patients with urinary tract issues.
Observation:
- A 54-year-old male with a history of bladder stones and type 2 diabetes presented with chronic urinary symptoms and penile swelling.
- Imaging revealed multiple bladder stones and a periurethral abscess caused by a retained intravesical drain from a prior cystolithotomy.
Findings:
- Surgical intervention involved cystolithotomy, drain removal, stone extraction, and treatment of urethral strictures.
- The patient experienced improved renal function and symptom resolution post-surgery.
Implications:
- This case highlights the critical importance of meticulous management of intravesical drains to prevent retained foreign bodies.
- Preventing retained drains is crucial to avoid complications such as bladder stone formation and obstructive uropathy.
