Abstract

Bladder calculi are a common long-term complication of enterocystoplasty. Increasingly, mini-invasive techniques are taking the place of open cystolithotomy in the management of this patient category. Options include extra-coropreal lithotripsy, endoscopic management, percutaneous or combined technique using both endoscopic and laparoscopic approaches. Reports of Mitrofanoff cystolitholapaxy are rare and are not free from complications, the challenge is to obtain a free stone patient without compromising or the continence mechanism or inducing a mucosal lesion that could lead to the stenosis of the conduit. We report the case of a large neobladder calculi managed endoscopically using semi-rigid ureteroscope, which allowed a complete stone cleansing without damage to the Mitrofanoff conduit.