title: Simultaneous Transabdominal Hysterectomy and Cystolithotomy in an Augmented Urinary Bladder: Challenges and Outcome.
abstract: Augmentation cystoplasty is a procedure to increase the anatomical as well as functional capacity of the urinary bladder using a segment of bowel or ureter. Upto half of these patients develop complications but most of them are minor and managed easily. Urolithiasis, especially bladder calculi are seen in upto half of the cases and are removed endoscopically or by open approach. Hysterectomy is an uncommon procedure in patients with augmentation cystoplasty and is complicated by the altered anatomy of the pelvis. We describe a rare case of simultaneous abdominal hysterectomy and cystolithotomy in a patient with augmentation cystoplasty and discuss the relevant surgical anatomy.
authors.affiliation: Senior Resident, Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences , Raibareli Road, Lucknow, Uttar Pardesh, India .
authors.forename: Vijay
authors.initials: V
authors.lastname: Sharma
authors.affiliation: Consultant, Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences , Raibareli Road, Lucknow, Uttar Pardesh, India .
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kapoor
authors.affiliation: Senior Resident, Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences , Raibareli Road, Lucknow, Uttar Pardesh, India .
authors.forename: Priyank
authors.initials: P
authors.lastname: Yadav
authors.affiliation: Senior Resident, Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences , Raibareli Road, Lucknow, Uttar Pardesh, India .
authors.forename: Pankaj
authors.initials: P
authors.lastname: Gaur
authors.affiliation: Consultant, Department of Gynaecology, Sanjay Gandhi Post Graduate Institute of Medical Sciences , Raibareli Road, Lucknow, Uttar Pradesh, India .
authors.forename: Deepa
authors.initials: D
authors.lastname: Kapoor
keywords: Augmentation cystoplasty; Surgical anatomy; Vesical calculus