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Urinary tract stone is a delayed and rare complication in patients with orthotopic urinary diversion. It can be detected incidentally or it may cause symptoms such as dysuria, gross hematuria, incontinence, recurrent urinary tract infection and suprapubic pain. The imaging modalities used in diagnosis and treatment methods are similar to the other stone diseases and the patients with orthotopic diversion require close follow-up and appropriate prophylaxis with regard to stone disease. In this article, we evaluated the management of a 62-year-old patient who underwent radical cystoprostatectomy and orthotopic diversion due to muscle-invasive bladder cancer 20 years ago and reapplied to our clinic with symptoms of a 6 cm stone in neobladder.

Endoscopic Approach to Giant Bladder Stone in Patient With Orthotopic Urinary Diversion