Giant bladder stone secondary to recurrent urethral stricture; a rare case report and review of literature

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Abstract Background: A giant bladder stone is very rare in adults. We report a case of giant bladder stone caused by recurrent urethral stricture in a 31-year-old male patient who had a history of recurrent bladder stone episodes. Case presentation: we present a case of a 31-year-old male patient, who presented with irritative lower urinary tract symptoms (LUTS). Past surgical history was remarkable for urethral injury due to road traffic accident (RTA) for which urethroplasty was done. A non-contrast-enhanced CT scan and cystoscopy were used for the diagnosis. Open cystolithotomy was performed and a 110g weighing bladder stone was extracted. He was discharged improved. A urine leak from the cystotomy site due to transurethral foley catheter malfunction was noted on first follow-up visit. On the second follow-up visit, the urine leak ceased and the foley catheter was removed. The patient reported improvement of the lower urinary tract symptoms (LUTS), on subsequent follow-up visits. Conclusion: This case represents the second-largest bladder stone reported in Ethiopia. Another peculiarity is the recurrent bladder stone following recurrent urethral stricture after urethroplasty in our case.

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