Spontaneous Expulsion of Giant Bladder Stone: Case Report

Tan, Julia; Singh, Preetvanti; Huang, Eugene; Han, Hao Chuan

doi:10.14740/jmc2850w

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Unusual huge size of GSBs may form a palpable or visible suprapubic mass [ 4 , 5 ]. Other rare outcomes have been reported, including bladder rupture, intestinal perforation, spontaneous expulsion [ 25 ], and anuria [ 5 , 26 ]. We did not encounter any of these unusual presentations among our patients.…”

Section: Discussionmentioning

confidence: 99%

Predictors of clinical and surgical characteristics of giant stones of the urinary bladder: a retrospective study

2023

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Background Giant stones of the urinary bladder (GSBs) are rare and usually presented as case reports. We aimed to assess the clinical and surgical characteristics of GSBs and identify their predictors. Methods A retrospective study of 74 patients with GSBs who presented between July, 2005 and June, 2020 was performed. Patients’ demographics, clinical presentations, and surgical peculiarities were studied. Results Older age and male gender were risk factors for the occurrence of GSBs. The irritative lower urinary tract symptoms (iLUTS) were the main presenting symptoms (97.3%). Most patients were treated with cystolithotomy (90.1%). Univariate analyses showed that solitary (p < 0.001) and rough surface (P = 0.009) stones were significant factors for occurrence of iLUTS as the presenting symptoms. Also, the severity of symptoms (p = 0.021), rough surface (p = 0.010) and size (p < 0.001) of stones, and farmer occupation (p = 0.009) were significantly associated with adherence of the stone to the bladder mucosa at surgery. In multivariate analysis, the rough surface (p = 0.014) and solitary (p = 0.006) stones, and concomitant ureteral stones (p = 0.020) were independently associated with iLUTS as the main presentation. However, the stone size and severity of iLUTS were the independently associated factors for adherence of GSBs to the bladder mucosa. Conclusions Solitary GSB, rough surface and the association with ureteral stones are independent risk factors for the occurrence of long-standing iLUTS. The stone size and severity of iLUTS were the independent predictors of adherence of GSBs to the bladder mucosa. Cystolithotomy is the main treatment, but it may be more difficult when there is bladder mucosa adherence.

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Section: Discussionmentioning

confidence: 99%

Predictors of clinical and surgical characteristics of giant stones of the urinary bladder: a retrospective study

2023

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“…Stones of size less than 5 mm have usually excreted out simultaneously with the spontaneous expulsion rate ranging from 71-98%. However, for distal ureteral stone greater than 5 mm, immediate intervention is usually required [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shockwave Lithotripsy versus Ureteroscopy: A First Line Distal Ureteric Stone Treatment

2021

PJMD

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Background: Despite the emergence of many novel minimally invasive techniques including percutaneous nephrolithotomy, ureteroscopy, extracorporeal shock wave lithotripsy, many urologists still prefer open surgery for the management of ureteric stones. The present study compared the efficacy of extracorporeal shockwave lithotripsy (ESWL) with ureteroscopy (URS) for the treatment of distal ureteral calculi.Methods: A single-blinded, randomized controlled trial, which was conducted between January 2018 to June 2019 at the Sindh Institute of Urology and Transplantation, Karachi, Pakistan. All patients diagnosed with unilateral, solitary, and distal ureteral stones were randomized in two groups. The patients in Group A underwent with ESWL and group B underwent ureteroscopy. The outcome of procedures was assessed after 3 months. Data was analyzed via Statistical Package for the Social Sciences (SPSS version 25). Chi-squared test was applied to compare the clinical efficacy of both techniques. A p<0.05 was considered as statistically significant.Results: Out of 106 patients, majority were females n=61(58%). Overall, the mean age of population was 41.9 ± 10.4 years, and the mean stone size was 13.1 ± 4.3 mm. Both the groups were almost comparable with respect to age and size of stones. There was a significant difference in outcome of both the procedures, as the residual stones were more in ESWL and URS i.e., 64.0% vs. 33.9% (p=0.019). Conclusion:In hospitals, both of the techniques are suitable for treatment purpose. However, the present results suggest that URS is a more effective procedure than ESWL (p=0.019) for treating ureteral stones and should be utilized as the first-line treatment for distal ureteral calculi.

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Spontaneous Expulsion of Giant Bladder Stone: Case Report

Cited by 2 publications

References 7 publications

Predictors of clinical and surgical characteristics of giant stones of the urinary bladder: a retrospective study

Predictors of clinical and surgical characteristics of giant stones of the urinary bladder: a retrospective study

Extracorporeal Shockwave Lithotripsy versus Ureteroscopy: A First Line Distal Ureteric Stone Treatment

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