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05-25-2010, 11:37 PM
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Bladder Stone
I got this from a medical site, so there's a lot o' doctor lingo: A 62-year-old male presented with complaints of difficulty and burning sensation while passing urine for the last 8 years associated with pain over the hypogastric area for 2 years. He had a history of recurrent urinary tract infections for the last 6-7 years for which he took medical treatment many times. There was history of passage of blood and pus flakes in urine on different occasions. On examination, a non-tender, firm lump was palpable in the hypogastric region. Per rectal examination revealed a hard and mobile mass in the urinary bladder. Per urethral catheterization was tried but the patient could not be catheterized. Routine examination of urine detected multiple RBCs and WBCs and the urine culture grew E. coli. Plain radiograph of the KUB region (Fig. 1) showed a large radio-opaque shadow in the pelvis and another very small shadow near the neck of the bladder (marked by arrow). Ultrasound of abdomen and urethra confirmed the presence of a vesical calculus of 11x8x8cm and a prostatic urethral calculus of 1x1cm. Serum calcium and PTH level was normal. Suprapubic extraperitoneal cystolithotomy was done and a yellowish brown hard stone weighing 380g, with fine spicules on its surface, was removed. There was no bladder diverticulum. A urethral dilator was passed through the urethra and the stone impacted near the bladder neck was pushed into the bladder and extracted. The patient was catheterized and the bladder closed in two layers. The catheter was removed on the fourteenth day and the patient passed urine comfortably with good stream. Biochemical examination showed a calcium oxalate stone. More can be read here: http://www.ispub.com/journal/the_int..._calculus.html I thought this was so crazy.. I mean, that doesn't look like a very pleasant thing to have in your bladder.. I wonder if he got to keep it afterward.. |