Novel Technique for Fragment Removal After Percutaneous Management of Large-volume Neobladder Calculi - 03/08/12
Reprint requests: Brian R. Matlaga, M.D., M.P.H., James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Park 221, 600 North Wolfe Street, Baltimore, MD 21287Résumé |
Objective |
To describe a novel method for fragment evacuation after percutaneous lithotripsy of neobladder calculi.
Methods |
The technique was developed using a Urovac bladder evacuator, which was attached to a standard 30F Amplatz working sheath.
Results |
The attachment of the Urovac evacuator to the Amplatz sheath rapidly evacuated large quantities of stone material. Careful attention should be paid to maintaining low-pressure irrigation by ensuring the bladder is not overly full and the Urovac device is not vigorously manipulated, to minimize the likelihood of bladder injury.
Conclusion |
Percutaneous ultrasonic/hydraulic lithotripsy for large-volume neobladder calculi often results in a substantial burden of stone fragments that can be difficult to clear using standard techniques. Attaching a Urovac bladder evacuator to the 30F Amplatz sheath can simplify the management of this task.
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| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 80 - N° 2
P. 474-476 - août 2012 Retour au numéro
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