Risk factors of calculi in upper urinary tract after radical cystectomy with urinary diversion

Zhang, Baochao; Xie, Hui; Liu, Chunyu

doi:10.1016/j.acuroe.2019.04.008

Cited by 5 publications

(8 citation statements)

References 23 publications

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“…In a study of 365 patients who underwent a RC Zhang et al found an overall incidence of 9.9% of UUT stones. Sub-analysis showed that 72.2% of stones were found in orthotopic neobladder patients and 13.9% in both ileal conduit and ureterocutaneostomy patients [13]. Stones are found either by routine radiographic follow-up or by clinical symptoms.…”

Section: Kidney Stonesmentioning

confidence: 99%

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Management of upper urinary tract problems after radical cystectomy for urothelial carcinoma: tips and tricks

Hof

Bruins

Roermund

2021

Current Opinion in Urology

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Purpose of reviewAfter radical cystectomy (RC) patients are at risk for both benign and malignant problems regarding the upper urinary tract (UUT). This review summarizes the recent literature and provides tips on how to manage problems of the UUT after RC. Recent findingsDisease recurrence, kidney stones and ureteroenteric strictures (UES) are common after RC. Endourological techniques can be used to treat low-grade disease recurrence, either with a retrograde or antegrade approach. Treatment success depends on getting access to the UUT and on tumor characteristics; selecting the right approach is key. Kidney stones can be treated endourologically with good results. With use of minimal invasive techniques such as robot cystectomy, a higher incidence of UES is observed. The use of indocyanine green could help to prevent this complication. In case of a stricture, primary reconstruction should be the treatment strategy of choice. SummaryAfter RC, recurrence of the UUT remains a complicated problem. Choice of treatment method should be tailored to the patient and tumor characteristics. Kidney stones after cystectomy can be successfully managed endourological. Robot assisted RC introduced a higher rate of UES, which should be managed by primary revision.

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Section: Kidney Stonesmentioning

confidence: 99%

“…The incidence of UUT stones in UDs is between 10 and 13.5% [11–13]. In a study of 365 patients who underwent a RC Zhang et al found an overall incidence of 9.9% of UUT stones.…”

Section: Kidney Stonesmentioning

confidence: 99%

Management of upper urinary tract problems after radical cystectomy for urothelial carcinoma: tips and tricks

Hof

Bruins

Roermund

2021

Current Opinion in Urology

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“…Ujedno je povećana apsorpcija citrata u crijevnim segmentima, što dovodi do hiperkalciurije i hipocitraturije koje pogoduju alkalizaciji urina amonijevim i fosfatnim ionima koji potiču stvaranje kamenaca. Istraživanja su pokazala kako 14 do 96 % pacijenata s urinarnom derivacijom ima kolonizaciju mokraćnog sustava bakterijama koja je u većini slučajeva asimptomatska i ne zahtijeva liječenje 8,9 . Najčešće izolirane bakterije su Escherichia coli, Enterococcus feacalis, Enterococcus faecium i Proteus mirabilis 8 .…”

Section: Prikaz Slučajaunclassified

“…Istraživanja su pokazala kako 14 do 96 % pacijenata s urinarnom derivacijom ima kolonizaciju mokraćnog sustava bakterijama koja je u većini slučajeva asimptomatska i ne zahtijeva liječenje 8,9 . Najčešće izolirane bakterije su Escherichia coli, Enterococcus feacalis, Enterococcus faecium i Proteus mirabilis 8 . Bakterije koje imaju enzim ureazu razlažu ureju na amonijak i hidroksilni ion koji pridonose alkalizaciji urina i formiranju struvitnih kamenaca 9 .…”

Section: Prikaz Slučajaunclassified

“…Refluks koloniziranog urina u gornje urinarne puteve pogoduje razvoju kamenaca gornjeg mokraćnog sustava 10 . Strukturalni čimbenici koji pridonose nastanku litijaze su staza urina uzrokovana stenozom ili strikturom koja sprječava ispiranje spremnika te potiče agregaciju kristala u urinu, zatim prisustvo stranih tijela kao što su neresorptivni šavovi ili ureteralni stentovi, refluks sluzi ili nečista samokateterizacija [8][9][10] . Istraživanje koje je uključivalo 401 pacijenta s Mainz-pouch I urinskim spremnikom pokazalo je kako učestalost nastanka litijaze ovisi i o vrsti upotrebljavanog kontinentnog mehanizma.…”

Section: Prikaz Slučajaunclassified

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Nastanak i liječenje gigantskih kamenaca ileocekalnog urinskog spremnika u pacijenta liječenog cistektomijom zbog intersticijskog cistitisa

Crnić

Kurosch

Dotzauer

et al. 2021

Med. Flum. (Online)

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Cilj: Cilj ovoga rada je prikazati pacijenta s intersticijskim cistitisom u kojega je došlo do stvaranja kamenaca u novoformiranom urinskom spremniku. Prikaz slučaja: Pacijent star 48 godina obrađivan je zbog recidivnih infekcija mokraćnog sustava. Prethodno mu je zbog intersticijskog cistitisa, koji je znatno utjecao na njegovu kvalitetu života, učinjena cistektomija uz oblikovanje urinskog spremnika (Mainz-pouch I). Urološkom obradom pronađena su u području urinskoga spremnika dva velika kamenca dimenzija 77 × 74 mm te 76 × 62 mm uz obostranu hidronefrozu. Kako bi se riješio uzrok rekurentnih urinarnih infekcija, učinjena mu je otvorenim pristupom ekstrakcija oba kamenca. Poslijeoperacijski tijek bio je uredan te je pacijent nastavio s provođenjem intermitentne samokateterizacije uz značajno poboljšanu kvalitetu života. Zaključak: U pacijenata s teškim oblikom intersticijskog cistitisa u obzir dolazi učiniti cistektomiju s urinarnom derivacijom. Pojava kamenaca u urinskome spremniku u takvih pacijenata nije česta, a liječenje ovisi o veličini litijaze (otvoreni odnosno endoskopski pristup).

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Risk factors for diagnosis of Escherichia coli infection after flexible ureteroscope holmium laser lithotripsy by imaging information technology under Nomogram mathematical model

Zhang

et al. 2021

Results in Physics

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Risk factors of calculi in upper urinary tract after radical cystectomy with urinary diversion

Cited by 5 publications

References 23 publications

Management of upper urinary tract problems after radical cystectomy for urothelial carcinoma: tips and tricks

Management of upper urinary tract problems after radical cystectomy for urothelial carcinoma: tips and tricks

Nastanak i liječenje gigantskih kamenaca ileocekalnog urinskog spremnika u pacijenta liječenog cistektomijom zbog intersticijskog cistitisa

Risk factors for diagnosis of Escherichia coli infection after flexible ureteroscope holmium laser lithotripsy by imaging information technology under Nomogram mathematical model

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