Recurrent giant neobladder calculus extrusion after bladder exstrophy repair

Thiago Guimarães; Fátima Alves; Hugo Pinheiro; Luís Campos Pinheiro

doi:10.1002/iju5.12563

Recurrent giant neobladder calculus extrusion after bladder exstrophy repair

IJU Case Rep. 2022 Dec 8;6(2):116-119. doi: 10.1002/iju5.12563. eCollection 2023 Mar.

Authors

Thiago Guimarães¹, Fátima Alves², Hugo Pinheiro¹, Luís Campos Pinheiro¹

Affiliations

¹ Urology Department Centro Hospitalar Universitário de Lisboa Central Lisbon Portugal.
² Pediatric Surgery Department Centro Hospitalar Universitário de Lisboa Central Lisbon Portugal.

Abstract

Introduction: Patients with bladder exstrophy subjected to reconstructive surgeries are at risk of developing urinary calculus.

Case presentation: We report the case of a 29-year-old male patient with bladder exstrophy who presented with a recurrent episode of extrusion of calculus through the neobladder and anterior abdominal wall. Calculus removal and reconstructive repair of the neobladder and abdominal wall were performed in 2010. Nine years following the procedure, the patient returned with new large neobladder calculus extrusion.

Conclusion: Recurrence of large calculus should be seen as the new paradigm for the importance of close follow-up in bladder exstrophy patients.

Keywords: augmentation cystoplasty; bladder exstrophy; calculus; neobladder; vesicocutaneous fistula.

Publication types

Case Reports