Holmium:YAG laser lithotripsy performed in the ureter of a patient with Bricker urinary diversion Article published in Urologia Polska 2005/58/1.
authors
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Jan Kawecki, Wiesław Duda, Kamil Bochynek, Artur Pietrusa
- Oddział Urologiczny Szpitala im. E. Michałowskiego w Katowicach
Ordynator oddziału: dr n. med. Wiesław Duda
keywords
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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
- Drake MJ, Cowan NC: Fluoroscopy guided retrograde ureteral stent insertion in patients with an ureteroileal urinary conduit: method and results. J Urol 2002; 167; 2049-2051.
- Floratos DI, de la Rosette MC: Lasery w urologii. Br J Urol Int 1999; 84; 204-211.
- 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.
- Matei DV, Grasseti F: ESWL for urolithiasis in patients with transileal ureterocutaneostomy. Arch Ital Urol Androl 1997; 69; 73-75.
- 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.
- 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.
- 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
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