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CASE REPORT
Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 38-40

Endoscopic management of massive stone load in a patient with repaired bladder exstrophy


Department of Urology, BYL Ch. Nair Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Varun Vishnu Agarwal
Department of Urology, 2nd Floor, Office Building, TNMC and BYL Ch. Nair Hospital, Dr. A. L. Nair Road, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ais.ais_7_18

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Bladder exstrophy is a rare congenital malformation of the genitourinary system. Patients with exstrophy of the bladder who have undergone augmentation cystoplasty with Mitrofanoff procedure have a tendency of recurrent calculi formation. A 23-year-old female, with bladder exstrophy, underwent Mitrofanoff procedure and developed recurrent vesical calculi thereafter. She presented to us with a very massive stone load, which was managed successfully by endoscopic technique. She was also taught preventive measures thereafter and advised regular follow-up. The importance of the report is that it highlights urolithiasis as a recurrent complication of primary bladder exstrophy closure, which can be managed effectively and safely by modern endoscopic techniques in a hostile abdomen with reconstructed tract and inaccessible urethra.


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