Multiple Uric Acid Bladder Stones: Clinical Presentation and Endoscopic Management | Zendy

Fábio César Miranda Torricelli | Zendy; ShihChieh Chueh | Zendy; S C Shen | Zendy; Manoj Monga | Zendy

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Multiple Uric Acid Bladder Stones: Clinical Presentation and Endoscopic Management

Author(s) -

Fábio César Miranda Torricelli,

ShihChieh Chueh,

S C Shen,

Manoj Monga

Publication year - 2017

Publication title -

journal of endourology case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.123

H-Index - 1

ISSN - 2379-9889

DOI - 10.1089/cren.2016.0134

Subject(s) - medicine , uric acid , bladder stone , presentation (obstetrics) , bladder stones , bladder outlet obstruction , urinary system , urology , surgery , prostate , cancer

Background: Bladder urinary calculi occur in 3%-8% of men with bladder outlet obstruction, and although most of them are composed of calcium, in a few cases uric acid bladder stones are diagnosed. Case Presentation: We present clinical images and therapeutic management of a 65-year-old diabetic man with significant prostate enlargement and >30 bladder stones, the largest being 17 mm. Despite the large stone burden, the patient was managed by cystolithotripsy. Remarkably, stone composition analysis revealed 100% uric acid stone. Intraoperative and postoperative course were uneventfully. Conclusion: Uric acid bladder stone pathogenesis seems to be multifactorial with local and systemic factors contributing in different manners and even large stone burdens may be cystoscopically managed.

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