Bladder fistula with Trocar-assisted ureteroscopy in the treatment of ureteral stones of transplanted kidney:a report of 4 cases
10.3969/j.issn.1009-8291.2024.05.016
- VernacularTitle:膀胱Trocar造瘘辅助输尿管镜置入治疗移植肾输尿管结石4例报告
- Author:
Chao LUO
1
,
2
;
Yaqian PENG
;
Tao LI
;
Jiang GU
;
Changshi GU
Author Information
1. 贵州医科大学附属医院泌尿外科,贵州贵阳 550004
2. 贵州医科大学基础医学院,贵州贵阳 550004
- Keywords:
bladder fistula;
ureteroscopic lithotripsy;
transplanted kidney;
ureteral stones;
renal function;
Trocar
- From:
Journal of Modern Urology
2024;29(5):456-458
- CountryChina
- Language:Chinese
-
Abstract:
ABSTRACT:Objective To report the data of 4 cases of Trocar-assisted ureteroscopy in the treatment of transplanted renal ureteral stones,to analyze the effectiveness of this therapy,and provide a reference for the treatment of such patients.Methods Clinical data of 4 patients with ureteral stones of transplanted kidney treated at the Affiliated Hospital of Guizhou Medical University during Jan.2016 and Jul.2023 were retrospectively analyzed.All patients received auxiliary ureteral soft/rigid endoscopic combined with holmium laser lithotripsy after Trocar-assisted bladder fistula.Renal function was rechecked after surgery and all patients were followed up regularly.Results All 4 cases had upper ureteral stones.During the follow-up of 24-68(average 38)months,no residual or recurrent stones were observed.Renal function and creatinine level returned to normal(79.0 μmol,95.0 μmol,60.6 μmol,82.0 μmol,respectively).Conclusion The treatment of ureteral stones of transplanted kidney should be individualized.Bladder fistula with Trocar-assisted ureteroscopy can effectively protect the function of transplanted kidney,which is worthy of promotion and application.
