A different approach to a coiled vesical foreign body

Abstract

Bladder stones are commonly managed by cystolithotomy or endoscopic removal. Cystolithotomy is mainly preferred for multiple stones and stones more than 3 cm and associated with post-operative pain, prolonged bladder drainage, extended hospitalization, in some cases with wound infection and leakage. The transurethral route avoids above complications but there is a risk of urethral trauma leading to stricture. The use of the expensive sophisticated instrument and prolonged operative time are potential drawbacks of an endoscopic procedure through transurethral route. There is another novel method to remove stone through percutaneous route which has helped in decreasing operative time and prolonged hospitalization. A case where a long segment of a coiled and knotted wire leading to vesical calculus was treated by percutaneous cystolithotomy is presented. To our knowledge, this is the first case where percutaneous cystolithotomy has been offered, which otherwise would have been managed by cystolithotomy.