Percutaneous imaging-guided access for the treatment of calculi in continent urinary reservoirs

Winston Brooks Davis, Scott O. Trerotola, Matthew S. Johnson, Nilesh H. Patel, Jan Namyslowski, Michael S. Stecker, Gordon McLennan, Himanshu Shah, Richard Bihrle, Richard Foster

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Purpose: To describe our long-term experience with percutaneous access to continent urinary reservoirs for calculus removal. Patients and Methods: A retrospective study of 13 procedures in 10 patients was performed. In 2 of the 13 procedures, access and calculus removal was performed in a single session. In the other 11 procedures, initial access was obtained using ultrasonography, fluoroscopy, and/or computed tomography. The patients then returned at a later date for a second step where the access was dilated and the calculi were removed. Results: Access was achieved successfully in all cases with no complications. At mean follow-up time of 13.6 months (range 1-94 months) one patient had died of complications unrelated to her continent urinary reservoir. Another patient had been placed on suppressive antibiotics for recurrent calculi. The remaining patients were stone free and without late complication. Conclusions: Percutaneous removal of reservoir calculi can be performed safely, avoiding potential injury to the continence valve mechanism by a direct cystoscopic approach. We propose a two-stage procedure using CT guidance for initial access as the preferred technique.

Original languageEnglish (US)
Pages (from-to)119-122
Number of pages4
JournalCardioVascular and Interventional Radiology
Volume25
Issue number2
DOIs
StatePublished - Mar 1 2002

Keywords

  • Bladder, interventional procedure
  • Bladder, surgery
  • Calculi

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Davis, W. B., Trerotola, S. O., Johnson, M. S., Patel, N. H., Namyslowski, J., Stecker, M. S., McLennan, G., Shah, H., Bihrle, R., & Foster, R. (2002). Percutaneous imaging-guided access for the treatment of calculi in continent urinary reservoirs. CardioVascular and Interventional Radiology, 25(2), 119-122. https://doi.org/10.1007/s00270-001-0075-x