PERCUTANEOUS NEPHROLITHOTRIPSY IN PATIENTS AFTER DIFFERENT METHODS OF URINARY DIVERSION


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

The study presents the results of percutaneous nephrolithotripsy (PNL) in patients who underwent different methods of urinary diversion. Materials and methods: The study included the results of PNL in 16 patients (study group) with kidney stones who were subjected to different methods of urinary diversion. Earlier, 2 (12.5%) patients underwent bilateral ureterosigmoidostomy for bladder exstrophy, 12 (75%) experienced radical cystectomy with orthotopic ileocystoplasty and 2 (12.5%) - heterotopic cystoplasty. The control group comprised 30 patients with large kidney stones and normal function of the lower urinary tract. In the main group, the mean stone size was 2.5 (2.2-3.6) cm in the control group - 2.6 (2.4-3.8) cm. The puncture of the kidney cavity system and nephrostomy dilatation were performed under ultrasound and fluoroscopic guidance, respectively. We compared such factors as the surgery duration, the number of intra- and postoperative complications, blood loss and length of hospital stay. There were no hemorrhagic complications requiring blood transfusion. Exacerbation of chronic pyelonephritis occurred in 4 (25%) patients of the study group and in 3 (10%) of the control group (p<0.05). The two groups did not differ in the effectiveness of PNL (87.5 and 90.0% in the study and control groups, respectively), the blood loss volume and the length of hospital stay. Conclusion: PNL enables high effectiveness in removing large kidney stones with minimal complications in patients undergoing different methods of urinary diversion.

Texto integral

Acesso é fechado

Sobre autores

B. Guliev

I.I. Mechnikov North-Western State Medical University

Email: gulievbg@mail.ru
Dr.Med.Sci., Prof. at the Department of Urology Saint Petersburg

E. Stetsik

I.I. Mechnikov North-Western State Medical University

Saint Petersburg

Bibliografia

  1. Turk T.M., Koleski F.C., Albala D.M. Incidence of urolithiasis in cystectomy patients after intestinal conduit or continent urinary diversion. World J. Urol. 1999;17:305-307.
  2. Terai A., Arai Y., Kawakita M., Okada Y., Yoshida O. Effect of urinary intestinal diversion on urinary risk factors for urolithiasis. J. Urol. 1995;153:37-41.
  3. Gerharz E.W., Turner W.H., Kalbe T., Woodhouse C.R. Metabolic and functional consequences of urinary reconstruction with bowel. BJU Int. 2003:91:143-149.
  4. Davidsson T., Lindergard B., Obrant K., Mansson W. Longterm metabolic effects of urinary diversion on skeletal bone: histomorphometric and mineralogic analysis. Urology. 1995;46:328-333.
  5. Mills R.D, Studer U.E. Metabolic consequences of continent urinary diversion. J. Urol. 1999;161:1057-1066.
  6. Woodhouse C.R., Robertson W.G. Urolithiasis in enterocystoplasties. World J. Urol. 2004;22:215-221.
  7. El-Assmy A., El-Nahas A.R., Mohsen T., Eraky I., El-Kenawy M.R., Shaban A.A., Sheir K.Z. Extracorporeal shock wave lithotripsy of upper urinary tract calculi in patients with cystectomy and urinary diversion. Urology. 2005;66:510-513.
  8. Delvecchio F.C., Kuo R.L., Iselin C.E., Webster G.D., Preminger G.M. Combined antegrade and retrograde endoscopic approach for management of urinary diversion-associated pathology. J. Endourol. 2000;14:251-256.
  9. el-Nahas A.R., Eraky I., el-Assmy A.M., Shoma A.M., el-Kenawy M.R., Abdel-Latif M., Mosbah A., Abol-Enein H., Shaaban A.A., Mohsen T., el-Kappany H.A. Percutaneous treatment of large upper tract stones after urinary diversion. Urology. 2006;68: 500-504.
  10. Fernandez A., Foell K., Nott L., Denstedt J.D., Razyi H. Percutaneous nephrolithotripsy in patients with urinary diversion: A case-control comparison of perioperative outcomes. J. Endourol. 2011;25; 1615-1618.
  11. Теодорович О.В. Чрескожная пункционная нефростомия и нефролитотомия. Дисс. канд. мед. наук. М. 1989;205 с
  12. Gamal W.M., Hussein M., Aldahshoury M., Hammady A., Osman M., Moursy E., Abuzeid A. Solo ultrasonography-guided percutaneous nephrolithotomy for single stone pelvis. J. Endourol. 2011;25(4):593-596
  13. Гулиев Б.Г. Перкутанная нефролитотрипсия под ультразвуковым контролем. Урология. 2014;5:111-115
  14. Bodakçi M.N., Penbegul N., Daggülli M., Dede O., Utangaç M.M., Hatipoglu N.K., Sancaktutar A.A. Ultrasound-guided micropercutaneous nephrolithotomy in pediatric patients with kidney stones. Int. J. Urol. 2015;22(8):773-777

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Declaração de direitos autorais © Bionika Media, 2016

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies