Management of upper tract calculi in patients with tubularized urinary diversions.
In a retrospective review of patients with urinary diversion who presented to our stone center during a 3.5-year period 9 underwent 20 procedures for suspected stone episodes. Eventual outcome was excellent in all but 1 patient. In particular, all attempts at retrograde trans-stomal manipulation were successful. We present our cases, and note the technical considerations and management principles. Frequently, these patients are best served by a combination of percutaneous antegrade, trans-stomal retrograde and/or extracorporeal shock wave lithotripsy.
Wolf
J S
JS
Department of Urology, University of California School of Medicine, San Francisco.
Stoller
M L
ML
D000328:Adult; D003106:Colon / Q000601:surgery; D012809:Colon, Sigmoid / Q000601:surgery; D004724:Endoscopy; D006801:Humans; D007082:Ileum / Q000601:surgery; D007669:Kidney Calculi / Q000453:epidemiology / Q000628:therapy*; D008096:Lithotripsy; D009403:Nephrostomy, Percutaneous; D012189:Retrospective Studies; D014514:Ureteral Calculi / Q000453:epidemiology / Q000628:therapy*; D014547:Urinary Diversion