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A giant bladder stone: managed with osteotome

O Adsan1, O Yildiz, B Oztürk

  • 1IInd Department of Urology, Ankara Numune Hospital, Turkey.

International Urology and Nephrology
|January 1, 1996
PubMed
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A 570g bladder stone, exceptionally large and adhered to the bladder wall, was successfully removed using an osteotome fragmentation technique. This case presents unique surgical challenges and outcomes in urology.

Area of Science:

  • Urology
  • Surgical Case Reports

Background:

  • Bladder stones (vesical calculi) can vary significantly in size and composition.
  • Large bladder stones pose diagnostic and therapeutic challenges, often requiring surgical intervention.

Observation:

  • A patient presented with a palpable bladder stone, indicating significant size.
  • The stone exhibited unusual adherence to the bladder wall, complicating removal.

Findings:

  • A single bladder stone weighing 570g was identified and removed.
  • Surgical fragmentation using an osteotome was necessary due to the stone's adherence.
  • The operative technique was considered exceptional within urologic literature.

Implications:

  • This case highlights the possibility of extremely large bladder stones and the need for adaptable surgical techniques.

Related Experiment Videos

  • It contributes to the literature on managing rare and complex vesical calculus cases.
  • Demonstrates the efficacy of osteotome fragmentation for adhered, massive bladder stones.