Transurethral contact ureteral lithotripsy in a gaseous (CO 2) medium


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Abstract

The paper describes for the first time the method of contact ureteral lithotripsy in gaseous (CO 2) medium. It presents the results of a comparative study of urolithiasis patients treated with this treatment modality (study group, n=30) and with traditional contact ureteral lithotripsy in liquid medium (control group, n=30). The incidence of retrograde migration of calculus in the kidney in the study group was 0%, while it was 16.6% in the control group. Acute or exacerbation of chronic pyelonephritis was diagnosed in only 3 (10%) patients in the control group. The suggested method of contact ureteral lithotripsy is safe and provides several advantages over traditional contact ureteral lithotripsy in a fluid medium, such as: physiologic validity, absence of calculus hypermobility (increased mobility), improved visualization during surgery and high cost effectiveness.

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About the authors

P. V Glybochko

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

Ju. G Aljaev

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

L. M Rapoport

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

D. G Carichenko

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

E. G Arzumanjan

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

Email: xachulya@mail.ru

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