Multiple giant bladder stones in spinal cord injury patient from rural Indonesia: a rare case report

Bladder stones or vesicolithiasis may complicate spinal cord injury patients due to their impaired sensory and motor function, causing several urological complications termed neurogenic lower urinary tract dysfunction. A 42-year-old man with spinal cord injury presented with complaints of urinary urgency and frequency for the past two years, worsened in the past week. There was also a three-day spell of intermittent fever. Ultrasonography revealed four giant stones in the bladder, each measuring 3.85 cm. Open vesicolithotomy revealed four ping pong ball sized stones and three smaller stones, without adhesion to the bladder mucosa. No visible tumors were found. The postoperative phase was uneventful and four weeks post-surgery, the patient had no urological complaints.