Giant urinary bladder stones, disease of underserved area - The largest case series

Abstract

Giant urinary bladder stone is defined as a stone weight of more than 100 grams, and more than four centimeters in its longest diameter. It is a rare finding in the current urology practice. To our knowledge, this is the first giant bladder stone series reported in adult Sudanese patients. And it is the longest series worldwide. Here, we report four males with bladder stones (BS) seen in one year. The youngest one was 35 years, and the oldest one was 73 years. Clinical presentation was lower urinary tract symptoms (LUTS) in all cases. One of them was schizophrenic and presented with storage symptoms. Ultrasonography (USS) was done in all cases, and plain x-ray KUB was done in one case. Cystoscopy is done in one case. One of them has obstructing prostate lobes and strawberry stone, he had vesicolithotomy (VL) and transvesical prostatectomy (TVP) simultaneously. All patients underwent open VL. In one of them operation was done under general anesthesia, and three were done under spinal anesthesia. Two of them had vesicocutaeous fistula (VCF), one healed in three months and the other in three weeks. The rest two had an uneventful postoperative course. One of them had a renal impairment that normalized following surgery.