title: Percutaneous treatment of calculi in reconstructed bladder.
abstract: OBJECTIVE
  To report our results with percutaneous removal of calculi from reconstructed bladders.
  
  
  METHODS
  Twelve patients with reconstructed bladders who underwent endoscopic cystolithotomy were identified from our departmental database, and retrospective review of case notes and imaging was performed.
  
  
  RESULTS
  Access was gained via an ultrasound-guided new tract in 9 patients (75%). An old suprapubic tract site was used in two patients, and the Mitrofanoff stoma was the route of access in one patient. The procedure was successful, with stone clearance achieved in all 12 cases. No major complications were observed. At a median follow up of 24 months, stone recurrence was observed in 5 patients (42%), 4 of whom underwent repeat procedures. Follow-up showed no change in continence in the patient with a Mitroffanoff stoma.
  
  
  CONCLUSIONS
  Percutaneous cystolithotomy is a safe and effective minimally invasive option for removal of stones in a reconstructed bladder. We recommend endoscopic removal as the treatment of choice in these patients.
authors: Department of Urology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom. Edgar.Paez@nuth.nhs.uk
authors: Edgar
authors: E
authors: Paez
authors: Emma
authors: E
authors: Reay
authors: L N S
authors: LN
authors: Murthy
authors: Robert S
authors: RS
authors: Pickard
authors: David J
authors: DJ
authors: Thomas
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D019992:Databases as Topic; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional; D001743:Urinary Bladder / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000628:therapy*; D016476:Urinary Reservoirs, Continent