Hemiacidrin irrigation of renal pelvic calculi in patients with ileal conduit urinary diversion.
Five quadriplegic patients with ureteroileocutaneous urinary diversion and recurrent renal calculi underwent 8 episodes of renal pelvic irrigation with hemiacidrin solution. Irrigations were done either via a nephrostomy tube or transileostomy ureteral catheters with close monitoring of urine sterility and serum magnesium. The stones were dissolved totally in 3 of 4 patients. There were no serious complications encountered during the irrigations and the only failure was in a patient with a single ureteral catheter. Serum magnesium levels were elevated mildly in 2 patients, both of whom experienced concomitant nausea and this was relieved by discontinuing the irrigations. Hemiacidrin irrigation into collecting systems that contain interposed bowel appears to be a safe and effective form of therapy for stones.
D000293:Adolescent; D000328:Adult; D002951:Citrates / Q000627:therapeutic use*; D006801:Humans; D007082:Ileum / Q000601:surgery; D007669:Kidney Calculi / Q000628:therapy*; D007682:Kidney Pelvis; D008875:Middle Aged; D010592:Pharmaceutic Aids / Q000627:therapeutic use*; D012008:Recurrence; D007507:Therapeutic Irrigation; D014547:Urinary Diversion
D002951:Citrates; D010592:Pharmaceutic Aids; C026485:hemiacidrin