Giant vesical calculi: experience with management of two Nigerians

Rahman, GA; Akande, AA; Mamudu, NA

doi:10.4314/njsr.v7i1.12280

Cited by 8 publications

(9 citation statements)

References 1 publication

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“…Globally, upper urinary tract stones are more common in contrast to the picture in developing countries where preponderance of lower tract calculi is documented [5,22]. We found the urinary bladder as the commonest site of urinary calculi in our patients.…”

Section: Discussionsupporting

confidence: 39%

A 5-Year Review of the Presentation and Management of Urolithiasis in a Nigerian Teaching Hospital

Omisanjo¹,

Bioku²,

Williams³

et al. 2019

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Section: Discussionsupporting

confidence: 39%

A 5-Year Review of the Presentation and Management of Urolithiasis in a Nigerian Teaching Hospital

Omisanjo¹,

Bioku²,

Williams³

et al. 2019

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“…All bladder calculi in this series were not associated with any bladder outflow obstruction, except two that had benign prostatic hyperplasia, similar to reports by George et al 10 . and Rahman et al 11 . in Nigeria.…”

Section: Discussionmentioning

confidence: 88%

Giant urinary tract calculi: A case series

Ali

Shiekh

2011

Surgical Practice

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Background: A giant urinary tract calculus is not common in modern urological practice. The bladder has been known to harbour very large stones, weighing hundreds of grams, some with bearable symptoms, for a long time. These giant stones account for less than 1% of all urinary tract calculi. The aim of the present report is to highlight our management of a series of giant urinary tract calculi. Methods: A series of 14 patients were seen over 5 years (2004)(2005)(2006)(2007)(2008)(2009) with giant urinary tract calculi and were studied in detail using their hospital records. Their biodata, clinical presentation, presence of urinary tract obstruction or infection, diagnostic investigations, operative management, and physical and chemical characteristics of the calculi were reviewed. Results: There were 13 males and one female, and their ages ranged between 4 and 79 years (median 30.5). Ten patients had bladder calculi, one ureteric in combination with a staghorn renal calculus, a second stone in the urethra and two huge staghorn calculi in non-functioning kidneys. The mean weight of the calculi was 153.3 Ϯ 69.6 (range 25-300 g) and the chemical compositions were mainly calcium oxalate, struvite (triple phosphate) and calcium carbonate. All the stones were radio-opaque and two were associated with nonfunctioning kidneys, and there was no congenital anatomical defect causing obstruction in any of the patients. Conclusion: Giant urinary tract calculi are most common in the male urinary bladder and are managed by open surgery with very good outcome. There were no anatomical abnormalities causing narrowing in the urinary tract in any of the cases.

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“…"Sounding" the bladder stone by feeling it "clink" on a urethral sound is an age-old technique for detecting bladder stones, but this procedure has been replaced by more modern methods [1,2]. Abdominal X-ray and ultrasound may be helpful, but cystoscopic examination provides definitive diagnosis [2].…”

Section: Discussionmentioning

confidence: 99%

“…Giant vesical stones are universally uncommon, and fewer than 30 reports of a stone that weighs more than 500 g are available in the English literature [2]. The most common causes of urinary bladder stone formation are well known: urinary tract infection (UTI), obstruction in the urinary tract that causes fluid stasis, enlargement of the prostate gland in men, and encrustation around foreign body that is present in the bladder [3].…”

Section: Introductionmentioning

confidence: 99%