Unforeseen Encounters: Managing Intravesical Drains and Secondary Bladder Stones in Clinical Practice.

Autor: Meena RK; Department of General Surgery, Maulana Azad Medical College, New Delhi, IND., Neogi S; Department of Surgery, Maulana Azad Medical College, New Delhi, IND., M K; Department of Surgery, Maulana Azad Medical College, New Delhi, IND.; Department of General Surgery, Maulana Azad Medical College, New Delhi, IND., Ghuliani D; Department of Surgery, Maulana Azad Medical College, New Delhi, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Aug 19; Vol. 16 (8), pp. e67220. Date of Electronic Publication: 2024 Aug 19 (Print Publication: 2024).
DOI: 10.7759/cureus.67220
Abstrakt: Urinary tract stones predominantly affect the kidneys and ureters, with bladder stones representing a smaller subset. Secondary bladder stones often arise from underlying pathologies such as bladder outlet obstruction, neurogenic bladder dysfunction, or the presence of foreign bodies within the bladder. We present a case of a 54-year-old male with a history of bladder stones and type 2 diabetes mellitus who presented with chronic urinary symptoms and penile swelling. Imaging revealed multiple bladder stones and a periurethral abscess secondary to a retained intravesical drain from a previous cystolithotomy. Surgical intervention included cystolithotomy, removal of the drain and stones, and management of associated urethral strictures. Postoperatively, the patient showed improvement in renal function and resolution of symptoms. This case underscores the importance of vigilant management during drain procedures to prevent complications like retained foreign bodies leading to stone formation and obstructive uropathy.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Meena et al.)
Databáze: MEDLINE