Percutaneous vesicolithotomy: an alternative to open bladder surgery in patients with an impassable or surgically ablated urethra
| Autor: | Ross M. Decter, David F. Franzoni |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Adolescent Urology urologic and male genital diseases Balloon Postoperative Complications Urethra medicine Humans Urinary Bladder Calculi Urinary bladder business.industry Urinary Reservoirs Continent medicine.disease Lithotomy position Surgery Neck of urinary bladder medicine.anatomical_structure Female Bladder stones business Continent Urinary Diversion |
| Zdroj: | The Journal of urology. 162(3 Pt 1) |
| ISSN: | 0022-5347 |
| Popis: | Although vesical calculi are routinely treated transurethrally, open vesicolithotomy is generally performed in patients with an impassable or surgically ablated urethra. We describe a technique of percutaneous vesicolithotomy which we used in patients who had undergone urethral ablation and concomitant continent diversion by appendicovesicostomy.Bladder stones were detected in 3 patients with neurogenic bladder who had undergone continent urinary diversion with bladder neck closure and appendicovesicostomy. To treat the stones access to the bladder was achieved percutaneously and the tract was enlarged using a balloon dilator. An Amplatz sheath was slipped over the inflated balloon and after the dilator was removed the sheath provided a working channel through which stones were fragmented and removed using a nephroscope.Each patient was rendered stone-free and discharged home the same day as the procedure.Percutaneous vesicolithotomy provides an alternative approach for bladder stone removal in patients with an impassable urethra with decreased morbidity compared to open procedures. |
| Databáze: | OpenAIRE |
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