Urolithiasis following formation of a continent urostomy: case report and review of the literature.
BACKGROUND
Formation of urinary stones in a continent urostomy (Indiana pouch) has been described as a late complication. Management of a patient with symptomatic multiple large stones and review of the literature are outlined.


METHODS
A 32-year-old woman presented with recurrent urinary tract infections and pyelonephritis 6 years after a total pelvic exenteration and creation of a continent urostomy for central recurrent carcinoma of the cervix after radical pelvic radiation. Multiple large stones were found to be the underlying etiology. Laparotomy, enterocystotomy, and removal of stones were performed without apparent complication.


CONCLUSIONS
It is recommended that for single calculi or multiple small stones, electroshock wave lithotripsy or the percutaneous endoscopic approach be considered. For larger stones the use of laparotomy and enterocystostomy may be appropriate.
Sait
K
K
Department of Gynecology, The University of Calgary, Alberta, Canada.
Stuart
G
G
Nation
J
J
Ghatage
P
P
D000328:Adult; D005260:Female; D006801:Humans; D007813:Laparotomy; D008096:Lithotripsy; D010385:Pelvic Exenteration; D014545:Urinary Calculi / Q000209:etiology* / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects*; D002583:Uterine Cervical Neoplasms / Q000601:surgery