Bitran Joshua Nissim, Katz Jonathan E, Bhat Abhishek, Shah Hemendra N
Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
BMJ Case Rep. 2021 Mar 23;14(3):e241514. doi: 10.1136/bcr-2020-241514.
Migration of abdominal wall mesh in an augmented bladder is a rarely encountered complication leading to formation of bladder stones causing recurrent urinary tract symptoms. The usual management of this condition involves either open surgical or a percutaneous approach for removal of the stone and migrated portion of mesh. Diagnosis of a migrated mesh is usually made intraoperatively during cystolitholapaxy. Appropriate management results in symptomatic improvement. Endoscopic management through catheterisable continent appendicovesicostomy has not been described to manage this challenging condition. To the best of our knowledge, we describe herewith the first report of endoscopic management of a large bladder stone formed over migrated mesh which involved removal of migrated mesh with holmium laser via a Mitrafanoff.
腹壁补片移位至扩大膀胱是一种罕见的并发症，可导致膀胱结石形成，引起复发性尿路症状。这种情况的常规处理方法包括开放手术或经皮途径取出结石及移位的补片部分。移位补片的诊断通常在膀胱结石碎石术中作出。恰当的处理可使症状改善。通过可控性造口膀胱扩大术进行内镜处理尚未见用于处理这一具有挑战性情况的报道。据我们所知，我们在此首次报告通过米特拉法诺夫（Mitrafanoff）通道用钬激光切除移位补片来内镜处理在移位补片上形成的巨大膀胱结石。
