PTU - Polskie Towarzystwo Urologiczne
list of articles:

Holmium:YAG laser lithotripsy performed in the ureter of a patient with Bricker urinary diversion
Article published in Urologia Polska 2005/58/1.

authors

Jan Kawecki, Wiesław Duda, Kamil Bochynek, Artur Pietrusa
Oddział Urologiczny Szpitala im. E. Michałowskiego w Katowicach
Ordynator oddziału: dr n. med. Wiesław Duda

keywords

ureter, ureteral calculus after Bricker operation, lithotripsy, holmium laser

summary

The paper presents a case of a young female patient with recurrent ureterolithiasis situated at the ureteroileostomy site (the patient's history included Bricker operation carried out in her childhood - urinary diversion caused by bladder extrophy).
The calculus was removed effectively by transcutaneous approach through the nephrostomy canal using holmium: YAG laser for lithotripsy. Granulated calculi remaining in the ureter after lithotripsy were removed with small forceps.
The advantages of the selected surgical approach to the calculus and the effectiveness of crushing urinary calculi with a holmium: YAG laser are emphasized in conclusions.

references

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  2. Floratos DI, de la Rosette MC: Lasery w urologii. Br J Urol Int 1999; 84; 204-211.
  3. Kouramas J, Delvecchio FC, Preminger GM: Low-power holmium laser for the management of urinary tract calculi, strictures and tumors. J Endourol 2001; 15; 529-532.
  4. Matei DV, Grasseti F: ESWL for urolithiasis in patients with transileal ureterocutaneostomy. Arch Ital Urol Androl 1997; 69; 73-75.
  5. Smith AD, Lange PH, Reinke DB, Miller RP: Extraction of ureteral calculi from patients with ileal loops: a New technique. J Urol 1978; 120; 623-625.
  6. Turk TM, Koleski FC, Albala DM: Incidence of urolithiasis in cystectomy patients after intestinal conduit or continent urinary diversion. J Urol 1999; 17; 305-307.
  7. Wodds SD, Reisner GS: Ureteral stenting via an ileal conduit using a gastroscope. J Urol 2002; 168; 185.

correspondence

Jan Kawecki
ul. Strzelecka 9
40-073 Katowice
tel. (0... 32) 25 18 861
fax (0... 32) 25 15 436
jan.kawecki@wp.pl