CASE REPORT |
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Year : 2018 | Volume
: 8
| Issue : 1 | Page : 38-40 |
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Endoscopic management of massive stone load in a patient with repaired bladder exstrophy
Varun Vishnu Agarwal, Mukund Gopalkrishna Andankar, Hemant Rangnath Pathak
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
Source of Support: None, Conflict of Interest: None | Check |
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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