Extraction of ureteral calculi from patients with ileal loops: a new technique.
A technique is described by which calculi can be removed from the distal ureters of patients with ileal conduit urinary diversions. A percutaneous nephrostomy is done and an angiogram catheter is manipulated down the ureter past the obstruction. After the angiogram catheter is retrieved from the loop with a Bumpus forceps a stone basket is attached, pulled up the ureter and opened. The stone can then be captured under fluoroscopic control and, by replacing the stone basket with a silicone splint, the ureteroileostomy also can be splinted. This may be important particularly if there is extravasation from the ureteroileostomy after stone manipulation or operation.
D000368:Aged; D002404:Catheterization; D006801:Humans; D007082:Ileum; D008297:Male; D008722:Methods; D014514:Ureteral Calculi / Q000628:therapy*; D014547:Urinary Diversion