Laser lithotripsy in management of large bladder calculi following primary repair of bladder exstrophy: A case report

A 4-year-old girl was admitted with the complaint of pain in lower abdomen and dysuria. She had exstrophy repair at 6th month of life. Radiographic investigations revealed a large bladder calculus. An innovative treatment in the form of laser lithotripsy was carried out to prevent damaging an already highly compromised urinary bladder with an open surgery.


[1] Hammad FT, Kaya M, Kazım E. Bladder calculi: did the clinical picture change? Urology. 2006; 67(6):1154–8.

[2] Ozturk H, Dagistan E, Uyeturk U. A child with a large bladder stone: A case report. Ped Urol Case Rep. 2014;1(4):22-8

[3] Mahajan JK, Rao KL. Exstrophy epispadias complex- Issues beyond the initial repair. Indian J Urol. 2012;28:382-7.

[4] Patil PS, Gupta R, Kothari P, et al. Urethral Calculus in an Operated Case of Exstrophy Bladder Repair: A Case Report. Sch J Med Case Rep. 2016; 4(4):220-2.

[5] Bhatnagar V, Dave S, Agarwala S, Mitra DK. Augmentation colocystoplasty in bladder exstrophy. Pediatr Surg Int. 2002;18(1):43–9.

[6] Silver RI(1), Gros DA, Jeffs RD, Gearhart JP. Urolithiasis in the exstrophy-epispadias complex. J Urol. 1997;158(3 Pt 2):1322-6.

[7] Rub R, Madeb R, Morgenstern S, Ben- Chaim J, Avidor Y. Development of a large bladder calculus on sutures used for pubic bone closure following extrophy repair. World J Urol. 2001;19(4):261–2.

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