Treatment of Upper Urinary Lithiasis in Patients Who Have Undergone Urinary Diversion

Badalato, Gina M.; Cortes, Janice A. Santos; Gupta, Mantu

doi:10.1007/s11934-011-0175-3

Cited by 11 publications

(11 citation statements)

References 26 publications

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“…On the other hand, Seth et al ( 12 ) reported higher rates of complications (such as steinstrasse) after SWL rather than other endourologic procedures. Furthermore, retreatment rates of SWL are considerably high ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion

Zhong¹,

Gurioli²,

Chen³

et al. 2018

Int. braz j urol.

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ObjectiveTo present our experience in minimally invasive management of urinary tract stones in patients with urinary diversion.Materials and MethodsWe retrospectively reviewed 26 patients with urinary tract stones after cystectomy and urinary diversion. The types of urinary diversion were ileal conduit, colon conduit, ileal orthotopic neobladder in 19, 4, and 3 patients, respectively. At postoperative days 2, a plain KUB and urinary ultrasonography were performed in order to assess stone fragmentation or hydronephrosis. According to postoperative imaging, stone free rate (SFR) was defined as complete absence of fragments or residual stones less than 4mm.Results19 patients were treated with minimally invasive percutaneous lithotripsy (MPCNL) and 2 patients required second-look MPCNL. Anterograde flexible ureteroscopy was performed in 2 patients, while in 2 patients a combined anterograde and retrograde approach was required. Three reservoir stones were treated by transurethral neo-bladder lithotripsy. Postoperative significant complications occurred in 2 patients (7.7%). The highest percentage of stone composition was struvite, as a result of chronic urinary tract infection (UTI). SFR was 88.5% (23 of 26).ConclusionsOur experience showed that MPCNL is a safe and effective treatment modality with little morbidity for renal and upper ureteral stones in patients with urinary diversion. For middle and lower ureteral stones, an anterograde approach could be also considered as a first line treatment, but a combined anterograde and retrograde approach was required when the anterograde access alone cannot provide acceptable results.

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Section: Discussionmentioning

confidence: 99%

Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion

Zhong¹,

Gurioli²,

Chen³

et al. 2018

Int. braz j urol.

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“…Contributing factors for developing stones in urinary diversion have not yet been completely understood and seem to be complex and multifactorial. 3 , 4 Regarding the literature, structural, metabolic, and infectious factors are mentioned. 1–4 Recently described risk factors of stone formation in patients with urinary diversion are urinary stasis because of a high postvoiding residual volume, urinary tract infections with urea splitting organisms, encrustation and stone formation on foreign bodies (e.g., ureteral stents and suture), excessive mucus production, or a chronic metabolic acidosis because of electrolyte imbalance.…”

Section: Discussionmentioning

confidence: 99%

“…These patients usually tend to develop magnesium ammonium phosphate (struvite) and calcium phosphate stones. 3 Lindsay et al postulated that stone analysis of patients with an ileal conduit revealed struvit and calcium phosphate stones as most common findings with 64% and 25%, respectively. 1 …”

Section: Discussionmentioning

confidence: 99%

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Symptomatic Distal Ureteral Stone in an Ileal Ureter: Treatment by Combined Supine Ureteroscopy and Mini Percutaneous Nephrolithotomy

Schott

Becker

Gross

et al. 2017

Journal of Endourology Case Reports

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Urolithiasis is a well-known and common late complication in patients with urinary diversion. Patients without urinary diversion lead to symptoms such as hematuria and ureteral colic, whereas stones in patients with urinary diversion tend to be asymptomatic and are often diagnosed incidentally during staging examinations of oncologic diseases. We report the case of a 64-year-old male patient with a lower pole kidney stone and a stone in the ileal ureter substitution. He presented with diffuse abdominal and left-sided flank pain. CT revealed the diagnosis of urolithiasis in the ileal ureter substitution and the lower pole of the left kidney. We performed a combined retrograde, flexible ureteroscopy and a mini percutaneous nephrolithotomy (combined intrarenal surgery) without any complications and no residual stone fragments postoperatively. This case presentation demonstrates that in patients with urinary tract diversion, urolithiasis can still cause problems.

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“…It affects 10% of the population in industrialized countries [1]. It is characterized by the formation of crystalline concretions developing in a basin and/or calyxes of kidney and causing partial or total obstruction to the normal urine flow [2]. Several factors can be linked to the formation of these calculi such as sex, ethnic group, food intake, genetics, climatic aspects, and metabolic disturbances [3].…”

Section: Introductionmentioning

confidence: 99%

Attitude and awareness of medicinal plants in treatment of kidney lithiasis in eastern Morocco: a retrospective study

et al. 2021

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Summary Introduction: Kidney stone is a major public health problem. Over 5% of the population is affected by kidney stones, with causes a lifetime risk of transmitting renal lithiasis of about 8 to 10%. Objective: The goal of our study is the attitude and awareness of lithiasis patients regarding the use of medicinal plants in eastern Morocco. Methods: We carried out a study on lithiasis patients to retrospectively identify medicinal plants used in this disease, using a pre-established questionnaire. The study was carried out from 10 December 2017 to 28 February 2018. Results: Our survey describes several medicinal plants used to treat renal lithiasis in eastern Morocco. Most patients used Herniaria hirsuta L., Zea mays L., Urtica dioica L., and Petroselinum crispum (Mill.) Fuss. This preliminary study showed that the first reason to use medicinal plants in half of lithiasis patients is to calm the pain and expel the stones. The primary source of plant use information is oral tradition. However 67% of lithiasis patients are unaware of the harmful and toxic effects that can appear. Conclusion: Medicinal plants must, like medicines, comply with strict requirements and standard rules of use to which only the specialist in herbal medicine can respond and sensitize people to the dangers of irrational consumption of medicinal plants.

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Treatment of Upper Urinary Lithiasis in Patients Who Have Undergone Urinary Diversion

Cited by 11 publications

References 26 publications

Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion

Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion

Symptomatic Distal Ureteral Stone in an Ileal Ureter: Treatment by Combined Supine Ureteroscopy and Mini Percutaneous Nephrolithotomy

Attitude and awareness of medicinal plants in treatment of kidney lithiasis in eastern Morocco: a retrospective study

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