Feasibility of urolithiasis management after studer neobladder urinary diversion: A multicenter center study
نویسندگان
چکیده
Background: Stones formation is a common complication after cystectomy including stones of the upper urinary tract and reservoir or conduit. Advances in instrumentation techniques have expanded treatment options, while minimizing morbidity. Aims Objectives: Feasibility urolithiasis management diversion surgery. Materials Methods: Eleven patients with stone were observed from January 01, 2015, to July 30, 2022. Operative procedures decided on basis locations size. Perioperative parameters compared similar studies. Percutaneous nephrolithotomy, percutaneous-based antegrade ureteroscopy semi-rigid flexible ureteroscope, transurethral lithotripsy, percutaneous pouch open operation performed. The operative finding complications retrospectively collected analyzed. Results: mean age was 53.2±8.1 years pre-operative diameter 3.1±3.5 cm. Three suprapubic cystolithotomy, two cystolithotripsy, nephrolithitomy, extracorporeal shock wave one patient per urethral cystolithotripsy/cystolitholapexy, ureteroscopy/flexible done. male-to-female ratio 9/2. Stone-free rate 100% single session treatment. In post-operative period, fever patients, leakage through wound site patient. Conclusion: Stone surgery challenging, success depends experience surgical team, preparation, correct instrumentations.
منابع مشابه
Surgical Management of Urolithiasis in Patients after Urinary Diversion
OBJECTIVE To present our experience in surgical management of urolithiasis in patients after urinary diversion. PATIENTS AND METHODS Twenty patients with urolithiasis after urinary diversion received intervention. Percutaneous nephrolithotomy, percutaneous based antegrade ureteroscopy with semi-rigid or flexible ureteroscope, transurethral reservoir lithotripsy, percutaneous pouch lithotripsy...
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متن کاملManagement of urolithiasis in patients after urinary diversions.
After urinary diversion patients are at increased risk of long-term complications, including stones of the upper urinary tract and reservoir or conduit. Advances in instrumentation and techniques have expanded treatment options, while minimizing morbidity. Minimally invasive treatment methods include shockwave lithotripsy, antegrade and retrograde ureteroscopic lithotripsy and percutaneous neph...
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Metabolic disturbances are well-known, but sometimes neglected immediate consequences or late sequelae following urinary diversion (UD) using bowel segments. Whereas subclinical disturbances appear to be quite common, clinically relevant metabolic complications, however, are rare. Exclusion of bowel segments for UD results in loss of absorptive surface for its physiological function. Previous s...
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ژورنال
عنوان ژورنال: Asian Journal of Medical Sciences
سال: 2023
ISSN: ['2091-0576']
DOI: https://doi.org/10.3126/ajms.v14i6.51167