Urolithiasis is a common complication in Bricker urinary -diversions. The upper urinary tract and ureters are predominantly involved, and ileal conduit stones are rare. Treatment consists of minimally invasive techniques, and open surgery is considered only when other safe and rapid treatment options are unavailable. We report a case of a 48-year-old patient with a large stone inside of Bricker, measuring 14 cm and weighing 1.03 kg. We discuss the likely etiologies and surgical approaches.

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