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. 1993 Aug;150(2 Pt 2):726-9.
doi: 10.1016/s0022-5347(17)35598-2.

Urolithiasis in children following augmentation cystoplasty

L S Palmer  1 , I Franco, S J Kogan, E Reda, B Gill, S B Levitt
Affiliations

Urolithiasis in children following augmentation cystoplasty

L S Palmer et al. J Urol. 1993 Aug.

Abstract

Until recently urolithiasis in children following augmentation cystoplasty was an infrequently noted problem. We examined our 10-year experience and found urinary calculi to form in 52% of children and young adults undergoing augmentation cystoplasty. Calculi formed at a median interval of 24.5 months after surgery, predominantly in the lower tract. Urinary tract infection was a statistically significant risk factor, while the use of absorbable staples, intestinal mucus and hypocitraturia were also implicated. Calculus composition was primarily a mixture of apatite, struvite and ammonium urate. Bladder calculi were effectively managed endoscopically in the majority of cases without complication. Upper tract calculi presented an endourological challenge.

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