# Surgical Option in the Management of a Giant Vesical Calculus Post Augmentation Cystoplasty

## TL;DR

A 24-year-old woman with a history of bladder augmentation developed a large bladder stone, which was successfully removed through surgery.

## Contribution

The paper presents a rare case of a giant vesical calculus following augmentation cystoplasty and its surgical management.

## Key findings

- A large urinary bladder stone was identified using X-ray and CT scans.
- Open cystolithotomy successfully removed the giant stone and a smaller one.
- Proper postoperative care and bladder irrigation can help prevent such complications.

## Abstract

We describe a rare instance of enormous, calcified stone development in an enlarged urinary bladder. The patient was a 24-year-old female suffering from the development of vesical calculus as a result of complicated bladder augmentation. She had a small bladder capacity and had undergone augmentation ileocystoplasty in childhood. The abdomen was examined using X-ray and computerized tomography, which revealed a significantly huge urinary bladder stone. An open cystolithotomy was performed and a giant vesicle calculus was extracted along with another small stone. Although stone development is a typical side effect following augmented bladder, it may be avoided with frequent bladder irrigation and attentive aftercare.