Urinary tract stone surgery in patients with urinary diversion and vesicostomy: a single center experience

Authors : Kubilay SARIKAYA, Çağri ŞENOCAK, Fahri Erkan SADİOĞLU, Mehmet ÇİFTÇİ, Ömer Faruk BOZKURT

Pages : 78-83

Doi:10.32322/jhsm.843304

View : 21 | Download : 10

Publication Date : 2021-01-21

Article Type : Research Paper

Abstract :Objective: To report our experience in percutaneous nephrolithotomy and endoscopic urinary tract stone surgery in patients with urinary diversion and vesicostomy. Materials and Methods: Data of 21 patients with urinary diversion or vesicostomy who underwent surgery for urinary tract stones in our clinic between January 2008 and January 2020 were retrospectively analyzed. Eight patients insert ignore into journalissuearticles values(38%); underwent percutaneous nephrolithotomy, 2 patients insert ignore into journalissuearticles values(9.5%); underwent antegrade flexible ureteroscopy, 4 patients insert ignore into journalissuearticles values(19.0%); underwent retrograde semi-rigid or flexible ureteroscopy, 5 patients insert ignore into journalissuearticles values(23.8%); underwent retrograde pouch lithotripsy and 2 patients insert ignore into journalissuearticles values(9.5%); underwent percutaneous cystolithotripsy with vesicostomy tract entrance.Preoperative and postoperative data of the patients were evaluated. Results: The male to female ratio was 16/5. The mean age of the patients was 54.6 ± 10.1 years and mean preoperative stone diameter was 2.8 ± 4.5 cm. It was determined that 14 patients insert ignore into journalissuearticles values(66.6%); had ileal conduit insert ignore into journalissuearticles values(Bricker anastomosis);, 5 patients insert ignore into journalissuearticles values(23.8%); had ureterocutaneostomy, and 2 patients insert ignore into journalissuearticles values(9.5%); had vesicostomy. Stone-free rate was 85.7% after single session of treatment. In the postoperative period, febrile urinary tract infection was observed in 4 insert ignore into journalissuearticles values(19.0%); patients, urinary system obstruction secondary to stone in 3 insert ignore into journalissuearticles values(14.2%); patients and anastomotic leakage in 1 insert ignore into journalissuearticles values(4.7%); patient. Conclusion: Percutaneous nephrolithotomy, antegrade ureterorenoscopy, retrograde ureterorenoscopy and vesicostomy entry cystolithotripsy are highly effective and safe methods in patients with urinary diversion and vesicostomy. The most important factors affecting the success are the experience of surgical team that can apply procedural options together with careful preoperative preparation and correct instrumentation.
Keywords : Urinary diversion, Stone formation, Stone surgery