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Percutaneous cystolithotomy in a patient with a Mitrofanoff urinary diversion

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dc.creatorRuiz, María Juliana Arcilaspa
dc.creatorBernal, Andrés Felipe Puentesspa
dc.date.accessioned2020-05-26T00:01:56Z
dc.date.available2020-05-26T00:01:56Z
dc.date.created2016spa
dc.description.abstractIntroduction and objectives Bladder stones are the most common calculi of the lower genitourinary tract. The most common predisposing factor is the bladder outlet obstruction. The present case concerns a patient who suffered urethral trauma after a pelvis fracture, requiring a Mitrofanoff urinary diversion, and was diagnosed with multiple cystolithiasis up to 1 cm. The objective of these paper is to show the possibility of performing a percutaneous cystolithotomy in a patient with a complex urinary diversion, being an intervention with low morbidity, and with shorter recovery time and comparable results in terms of stone free percentage rate. Materials y methods The procedure starts with a prior Mitrofanoff catheterisation with a Foley catheter 12. An ultrasound-guided suprapubic left paramedian puncture was performed, followed by Chiba needle hydrophilic guidewire, stiletto, telescoped Alken dilators 9Fr-22Fr, and 28Fr Amplatz sheath. Once the percutaneous tract is established, the nephroscope and foreign body forceps were introduced and complete stone removal was achieved. The procedure ended with the extraction of the Amplatz sheath and occlusion of the wound with gauze dressing, maintaining the bladder diversion with the Foley catheter to a draining collector system. Discharge was given at day 1 post-operative, nad the Foley catheter was removed after 5 days. Results No complications occurred, the operative time was 1 hour, and 1 day of hospital stay. Satisfactory recovery with a successful outcome in terms of complete stone removal in only 1 surgery. Conclusions Percutaneous cystolithotomy is a management option which offers advantages comparable with other techniques. It should not just be considered in patients with urethral restricted access. © 2015 Sociedad Colombiana de Urologíaeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.uroco.2015.09.010
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23428
dc.language.isoengspa
dc.publisherElsevier Doymaspa
dc.relation.citationEndPage129
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage126
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 25
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.25, No.2 (2016); pp. 126-129spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84949293410&doi=10.1016%2fj.uroco.2015.09.010&partnerID=40&md5=af0185f2cb7fad3b422737715c98d98cspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordArticlespa
dc.subject.keywordBladder obstructionspa
dc.subject.keywordBladder stonespa
dc.subject.keywordCatheterizationspa
dc.subject.keywordFoley balloon catheterspa
dc.subject.keywordHospitalizationspa
dc.subject.keywordHumanspa
dc.subject.keywordLithotomyspa
dc.subject.keywordOperation durationspa
dc.subject.keywordPelvis fracturespa
dc.subject.keywordPercutaneous cystolithotomyspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordUrinary diversionspa
dc.subject.keywordAmplatz sheathspa
dc.subject.keywordBladderspa
dc.subject.keywordBladder stonespa
dc.subject.keywordCystolithiasisspa
dc.subject.keywordMitrofanoffspa
dc.subject.keywordNon neurogenic bladderspa
dc.subject.keywordPercutaneous cystolithotripsyspa
dc.titlePercutaneous cystolithotomy in a patient with a Mitrofanoff urinary diversionspa
dc.title.TranslatedTitleCistolitotomía percutánea en paciente con derivación urinaria compleja tipo Mitrofanoffspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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