A rare case of a giant vesical diverticular calculus managed successfully by endoscopy

Authors

  • Santosh Patil Department of Urology, Shri BM Patil Medical College, Vijayapura, Karnataka, India
  • Vinay S. Kundargi Department of Urology, Shri BM Patil Medical College, Vijayapura, Karnataka, India
  • Siddanagouda B. Patil Department of Urology, Shri BM Patil Medical College, Vijayapura, Karnataka, India
  • Basavesh S. Patil Department of Urology, Shri BM Patil Medical College, Vijayapura, Karnataka, India
  • Saurabh M. Thakkar Department of Urology, Shri BM Patil Medical College, Vijayapura, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230272

Keywords:

Vesical, Calculus, Diverticulum

Abstract

Vesical diverticula occur in the setting of bladder outlet obstruction (BOO) and neurogenic vesicourethral dysfunction. Vesical diverticular calculi are rare, especially for minimally invasive endoscopic lithotripsy treatment. A male patient of around 80 years presented with complaints of urinary intermittency and dribbling for 3 to 4 days. On investigation, the patient was found to have a calculus within a diverticulum in the urinary bladder. After counselling, cystolithotripsy + transurethral resection (CLT+TURP) of the prostate under spinal anaesthesia was performed.  Usually, open surgery is recommended for the management of vesical diverticular calculi. However, CLT+TURP was the best option, in this case, keeping in mind the patient’s age and comorbidities. Simultaneous endoscopic resection of the prostate gland would help to treat the cause.

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Published

2023-01-27

Issue

Section

Case Reports