ESWL for urolithiasis in a patient with transileal ureterocutaneostomy

We present a case of urinary stone originated in the upper urinary tract and impacted within the ureteroileal anastomosis, in a patient with ileal conduit urinary diversion. Extracorporeal shock wave lithotripsy (ESWL) showed itself resolutive. Patients with urinary diversion have multiple risk fact...

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Bibliographic Details
Published inArchivio italiano di urologia, andrologia Vol. 69; no. 1; p. 73
Main Authors Matei, D V, Grassetti, F
Format Journal Article
LanguageItalian
Published Italy 01.02.1997
Subjects
Aged
Humans
Ileum - surgery
Lithotripsy
Male
Ultrasonography
Ureteral Calculi - diagnostic imaging
Ureteral Calculi - etiology
Ureteral Calculi - therapy
Ureterostomy
Urinary Diversion - adverse effects
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Summary:We present a case of urinary stone originated in the upper urinary tract and impacted within the ureteroileal anastomosis, in a patient with ileal conduit urinary diversion. Extracorporeal shock wave lithotripsy (ESWL) showed itself resolutive. Patients with urinary diversion have multiple risk factor for calculi formation (acidosis with concomitant hypercalciuria, upper urinary tract infections with urease producing bacteria, urostasis due to ureterointestinal anastomosis or ureteral narrowing), as well as predisposing conditions for stones to impact along the ureter or within the ureterointestinal anastomosis. Follow-up of these patients has to be very careful in order to avoid obliterative pyeloureteritis, the major complication of stone disease in patients with urinary conduit diversion.
ISSN:1124-3562