Ureteral meatotomy with local-prototype urethrotome in the management of lower ureteral stones.
Surgical removal of stones impacted in the submucosa of the distal ureter is difficult. A local-prototype visual urethrotome was evaluated for the management of submucosal vesicoureteral stones and as an aid in the removal of a Dormia basket with an entrapped stone impacted in the submucosa of the vesical portion of the ureter. A total of 14 male and 11 female adult patients were included. Fifteen patients required ureteral meatotomy to release the stone. Transurethral ureteral meatotomy is a precise and safe procedure associated with minimal complications when carefully done. Our local-prototype instrument proved to be a simple, economical, and valuable tool.
Department of Surgery, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines.
D G
DG
Lusaya
J F
JF
David
F P
FP
Parreno
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D013525:Surgical Instruments; D013514:Surgical Procedures, Operative; D014513:Ureter / Q000601:surgery*; D014514:Ureteral Calculi / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000601:surgery*