A 53-year-old man presented with lower urinary tract symptoms and recurrent urinary tract infections since last 3 years without being investigated or treated properly. Examination revealed a hard mobile lump in the pelvis, and blood investigations showed raised serum creatinine of 2.9 mg/dL. Subsequent urgent ultrasound scan showed a large urinary bladder stone with bilateral hydroureteronephrosis, and X-ray kidney, ureter and bladder demonstrated a 9 cm×6 cm elliptical radio-opaque shadow in the pelvis. He underwent emergency admission followed by open cystolithotomy on the next day. He was discharged after 48 hours with a urethral catheter. After 2 weeks, his renal function recovered completely; repeat ultrasound scan revealed complete resolution of hydronephrosis. Urethral catheter was removed following a normal cystogram. Uroflowmetry after 6 weeks revealed underlying bladder outlet obstruction, and he was started on alpha blocker which improved his urinary flow.
This paper aimed to examine the management of urinary calculi of a sulcata tortoise. A 5-year-old Sulcata tortoise (Geochelon sulcata) was presented with a history of dehydration, loss of appetite, and lameness. Clinical signs and radiographic examination indicated urinary calculi in the urinary bladder. Radiographic results revealed that there was a radiopaque urinary calculi mass. Plastron osteotomy and cystotomy techniques were used to remove urinary calculi. The appetite of the tortoise returned to normal in a week after the surgery. The lateral plastron is an appropriate osteotomy technique, especially for the immediate opening of the plastron with a stone-filled bladder. This was a safe area to open plastron since it was far from the heart. This method was not beneficial for the tortoise in their infancy since it would interrupt the development of plastron formation resulting in the postoperative asymmetrical plastron structure.
Objective: To explore the correlates of sexual dysfunction and lower urinary tract symptoms (LUTS) in male patients with urinary bladder stones and to determine the effect of stone extraction on recovery of sexual function.Materials and Methods: A total of 87 male patients with primary bladder stones were studied from January 2015 to May 2016. All patients underwent pneumatic lithotripsy for bladder stones. Sexual dysfunction was assessed based on sexual function assessment scales. The relationship of bladder stones with sexual dysfunction or LUTS was assessed using a two-sample t-test. Postoperative improvement of sexual function was assessed by repeated measures Analysis of Variance (ANOVA).Results: Forty-one patients had primary bladder stones and 46 had secondary stones from the kidneys. Eighty-three of 87 patients (95%) had sexual dysfunction; 79 patients (91%) had both sexual dysfunction and LUTS. There was a significant association between bladder stones and sexual dysfunction, between sexual dysfunction and LUTS, and between bladder stone and LUTS (p < 0.05). There was no significant association between the course of illness, size and number of bladder stones, or urinary tract infection with sexual function (p > 0.05). In addition, among 83 patients with both bladder stone and sexual dysfunction, 61 patients (73%) had benign prostatic hyperplasia (BPH) and 22 patients (27%) had no BPH. On postoperative evaluation at 3 months, sexual dysfunction scores were significantly improved in 77 patients (88.5%)Conclusion: Patients with bladder stones have a high incidence of sexual dysfunction, particularly those with co-existing LUTS and BPH. About 1/3 patients without BPH had sexual dysfunction and surgical removal of bladder stones significantly improved sexual function and LUTS.
The report concerns a very rare case of a dermoid tumor of the urinary bladder operated on by the author at the Kremenchug Zemskaya Hospital. In a patient, a peasant woman, 33 years old, in view of constant (8 years flowing) pain during urination, alkaline purulent urine, the appearance of small pebbles when washing the bladder and probing with a bimanual examination of some bladder in the day it was not possible to grope), the diagnosis of a bladder stone was placed.
The chicken or the egg story: which came first, epigastric hernia in a patient with huge urinary bladder stone
