Surgical Management of Urolithiasis in Patients after Urinary Diversion

• DOI: 10.1371/journal.pone.0111371
• Publication Date: 2014-10-31T18:07:16Z
• Authors: Wen Zhong; Bicheng Yang; Fang He; Liang Wang; Sunil Swami; Guohua Zeng
• Keywords: Urinary diversion

To present our experience in surgical management of urolithiasis patients after urinary diversion.Twenty with diversion received intervention. Percutaneous nephrolithotomy, percutaneous based antegrade ureteroscopy semi-rigid or flexible ureteroscope, transurethral reservoir lithotripsy, pouch lithotripsy and open operation were performed 8, 3, 2, 6, 1 patients, respectively. The operative finding complications retrospectively collected analyzed.The mean stone size was 4.5 ± 3.1 (range 1.5-11.2) cm. time 82.0 11.5 55-120) min. Eighteen rendered free a clearance 90%. Complications occurred 3 (15%). Two (10%) had postoperative fever greater than 38.5 °C, one patient (5%) suffered urine extravasations from tract.The procedures, including ureteroscope tract, provides direct safe access to the target stones diversion, high rate minor complications. requires comprehensive evaluation individualized consideration depending upon type, location, burden, available resource surgeon experience.