There are diverse surgical methods for treating large bladder stones, such as transurethral cystolithotripsy (TUCL), percutaneous suprapubic cystolithotripsy (PCCL), open surgery, and laparoscopic methods. We report here a case of two large bladder stones treated by using a combined surgical method of a laparoscopic approach and direct visual lithotripsy. However, surgical methods using the laparoscopic method have not been reported so far. We report here a case of two large bladder stones successfully removed by using a hybrid method combining the benefits of laparoscopic surgery and lithotripsy.
CASE REPORTA 55-year-old man was admitted with the chief complaints of voiding difficulty, sudden stoppage of urination, frequency of urination, and residual urine sensation, which he had experienced for the previous 5 years. A pelvic radiographshowed two large radiopaque densities in the bladder (Fig. 1).Flexible cystoscopy showed two yellow and round-shaped stones at the center position, and they were not stuck to each other or to the bladder wall. The computed tomography (CT)