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Abstract
Background: Bladder stones are common after bladder augmentation. The management of bladder stones is challenging, especially in patients who underwent complex urinary tract reconstruction. Case Presentation: We report our experience of percutaneous cystolithotripsy after bladder neck closure, creation of a catheterizable channel, and ileal bladder augmentation in a girl with cloacal exstrophy. Conclusion: Percutaneous cystolithotripsy is a safe, effective, and minimally invasive treatment option for bladder stones after bladder neck closure and the creation of a continent catheterizable channel.
Highlights
Bladder stone is one of the late complications of bladder augmentation with a reported incidence of 10% to 52%. [1] The management of bladder stones is challenging, especially in patients who have undergone complex urinary tract reconstruction
Different surgical options have been reported for stones in the reconstructed bladder: open cystolithotomy, endoscopic cystolitholapaxy, and percutaneous cystolithotomy. [2,3,4] We report our experience of percutaneous cystolithotripsy after complex urinary tract reconstruction in a girl with cloacal exstrophy
The objective of this report is to share our experience of managing stones in a reconstructed bladder that are difficult for endoscopic cystolitholapaxy through a continent catheterizable channel
Summary
Bladder stone is one of the late complications of bladder augmentation with a reported incidence of 10% to 52%. [1] The management of bladder stones is challenging, especially in patients who have undergone complex urinary tract reconstruction. [2,3,4] We report our experience of percutaneous cystolithotripsy after complex urinary tract reconstruction in a girl with cloacal exstrophy. The objective of this report is to share our experience of managing stones in a reconstructed bladder that are difficult for endoscopic cystolitholapaxy through a continent catheterizable channel. At 14 years of age, she underwent ileal bladder augmentation, creation of a continent catheterizable channel (Monti), bladder neck closure, bilateral ureteroneocystostomy, and closure of the vesicovaginal fistula [Figure 1]. The management of bladder stones is challenging, especially in patients who underwent complex urinary tract reconstruction. Case Presentation: We report our experience of percutaneous cystolithotripsy after bladder neck closure, creation of a catheterizable channel, and ileal bladder augmentation in a girl with cloacal exstrophy
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