Huge Bladder Stones in an Ethiopian Woman after Fistula Repair: A Case Report

Ayichew Z, Jemal K and Ayele S

Published on: 2022-07-16


Urolithiasis is the formation of stones (calculi) in the kidney, bladder, and/or urethra. Bladder stones are much less common in women as compared with men because of the lower incidence of urinary obstruction in women occurring in a 3:1 ratio. Bladder stones can develop in the back groud of foreign bodies or increases concentration of urine. It can also occur in patients with vesicovaginal fistula due to fluid restriction. Bladder stone formation after fistula repair is uncommon. Here we report a case of huge bladder stone in an Ethiopian woman, years after fistula repair and bladder neck surgery for stress incontinence. She presented with suprapubic pain and worsening of urinary incontinence and diagnosis of huge bladder stones was made and removal was done with cystolithotomy. In Conclusion, bladder stone can develop following fistula repair with additional bladder neck procedures that may result in urethral stricture. Patients who present with suprapubic pain after fistula surgery should be evaluated for the presence of stone.