Development of a large bladder calculus on sutures used for pubic bone closure following extrophy repair

Ronen Rub, Ralph Madeb, Solomon Morgenstern, Jacob Ben-Chaim, Yoav Avidor

Research output: Contribution to journalArticlepeer-review

Abstract

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, nonabsorbable 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.

Original languageEnglish
Pages (from-to)261-262
Number of pages2
JournalWorld Journal of Urology
Volume19
Issue number4
DOIs
StatePublished - 2001
Externally publishedYes

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