Development of a large bladder calculus on sutures used for pubic bone closure following extrophy repair.
Bladder exstrophy is a rare congenital condition that occurs in 1 to 30,000 live births. Primary bladder closure is usually performed in the first days of life in conjunction with an iliac osteotomy in order to achieve a more secure bladder closure. We report a case of a large bladder stone with secondary right-sided hydronephrosis in a 3-year-old child who underwent exstrophy repair at the age of 7 months. During the exstrophy repair a no. 1 braided, polyester, non-absorbable suture was used to close the pubic bones and served as a nidus for intravesical stone formation. This case substantiates the lithogenic nature of non-absorbable sutures in contact with urine as well as the need for close post-operative follow-up in these patients.
Rub
R
R
Hillel Yaffe Medical Center, Department of Urology, Hadera, Israel. kashish@inter.net.il
Madeb
R
R
Morgenstern
S
S
Ben-Chaim
J
J
Avidor
Y
Y
D001746:Bladder Exstrophy / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology; D007223:Infant; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013537:Sutures / Q000009:adverse effects*; D001744:Urinary Bladder Calculi / Q000000981:diagnostic imaging / Q000209:etiology*