Introduction: Neobladder urolithiasis is a rare but important delaying complication of orthotopic urinary diversion. We report a case of Hem-o-Lok (HOLC) migration into the neobladder with giant stone formation after orthotopic neobladder cystectomy.
Case report: We report a case of a 57-year-old man with frequent urination and occasional discharge of stones 3 years after a laparoscopic orthotopic neobladder cystectomy. Computed tomography revealed a large round 3.5 cm calculus. An endoscopic neocystolitholapaxy was performed, and a Hem-o-Lok was found in the center of the stone.
Conclusion: We described the case presentation, treatment and analysis of etiology of stone formation to avoid such complication.
Keywords: Bladder migration; Bladder stone; Case report; Hem-o-Lok; Neobladder.
© 2023. The Author(s).