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  • Endourological management of multiple large bladder calculi over eroded mesh in an adult with augmented bladder and catheterisable continent appendicovesicostomy

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Case report
Endourological management of multiple large bladder calculi over eroded mesh in an adult with augmented bladder and catheterisable continent appendicovesicostomy
  1. Joshua Nissim Bitran,
  2. Jonathan E Katz,
  3. Abhishek Bhat and
  4. Hemendra N Shah
  1. Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
  1. Correspondence to Dr Hemendra N Shah; drhemendrashah{at}yahoo.co.in

Abstract

Migration of abdominal wall mesh in an augmented bladder is a rarely encountered complication leading to formation of bladder stones causing recurrent urinary tract symptoms. The usual management of this condition involves either open surgical or a percutaneous approach for removal of the stone and migrated portion of mesh. Diagnosis of a migrated mesh is usually made intraoperatively during cystolitholapaxy. Appropriate management results in symptomatic improvement. Endoscopic management through catheterisable continent appendicovesicostomy has not been described to manage this challenging condition. To the best of our knowledge, we describe herewith the first report of endoscopic management of a large bladder stone formed over migrated mesh which involved removal of migrated mesh with holmium laser via a Mitrafanoff.

  • urinary and genital tract disorders
  • urinary tract infections
  • urological surgery
  • urinary tract infections

https://doi.org/10.1136/bcr-2020-241514

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    Footnotes

    • Twitter @drabhishekbhat

    • Contributors JNB: contributed to initial drafting of manuscript, data design, critical revision of content and final approval of manuscript. JEK: contributed to drafting of manuscript and critical revision of content. AB: contributed to drafting of manuscript and critical revision of content. HNS: contributed to conception, initial drafting of manuscript, acquisition of data and design, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.