A rare case of a giant vesical diverticular calculus managed successfully by endoscopy
| Autor: | Santosh Patil, Vinay S. Kundargi, Siddanagouda B. Patil, Basavesh S. Patil, Saurabh M. Thakkar |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | International Surgery Journal. 10:306-308 |
| ISSN: | 2349-2902 2349-3305 |
| DOI: | 10.18203/2349-2902.isj20230272 |
| Popis: | Vesical diverticula occur in the setting of bladder outlet obstruction (BOO) and neurogenic vesicourethral dysfunction. Vesical diverticular calculi are rare, especially for minimally invasive endoscopic lithotripsy treatment. A male patient of around 80 years presented with complaints of urinary intermittency and dribbling for 3 to 4 days. On investigation, the patient was found to have a calculus within a diverticulum in the urinary bladder. After counselling, cystolithotripsy + transurethral resection (CLT+TURP) of the prostate under spinal anaesthesia was performed. Usually, open surgery is recommended for the management of vesical diverticular calculi. However, CLT+TURP was the best option, in this case, keeping in mind the patient’s age and comorbidities. Simultaneous endoscopic resection of the prostate gland would help to treat the cause. |
| Databáze: | OpenAIRE |
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