Media Release

Udupi, Nov 25: Largest vesical calculus was removed by the team of Urologist at Kasturba Hospital, Manipal. An elderly female, 60-year-old presented with complaints of dysuria, frequency, and urgency for six years and she was empirically treated for urinary tract infection every episode of symptoms.

At presentation to Kasturba Medical College and Hospital, Manipal clinical examination revealed a hard, palpable mass in the suprapubic region. Plain CT was done, which revealed a sizeable hyperdense shadow occupying the entire urinary bladder. 

Open cystolithotomy was done and calculus measuring 11.5 x 7.5 cm with a weight of 672 grams was delivered intact by Dr Anshuman, Dr Kasi Vishwanath, Dr Nisha, Dr Vivek Pai and Dr Krsihna under the guidance of Dr Padmaraj Hegde, professor of Urology and deputy medical superintendent and the patient was discharged on the second day.

Making the diagnosis is challenging, especially in rural areas with limited access to healthcare facilities such as ultrasonography or X-ray.

This was a case of giant vesical calculus weighing 672 grams in an otherwise healthy adult female. To the best of knowledge, this is the largest vesical calculus in a female patient that has been reported till date in the world. The largest bladder stone reported in the literature so far was from KEM Hospital , Mumbai which weighed 528 grams.

Chief operating officer Dr Anand Venugopal, teaching hospital, MAHE, Manipal and Dr Avinash Shetty medical superintendent congratulated the whole team for successfully performing the very rare and complex Surgery.