Öz
One of the long-term complications of urinary diversion, urolithiasis, is influenced by factors such as bacterial colonization, urinary stasis, mucus, and anatomical abnormalities. Stones are typically observed in the upper urinary tract, and they are rarely seen in the ileal conduit. Although endoscopic surgery can be used for the treatment of stones in the ileal conduit, it is predominantly treated with open surgery. We report a 28-year-old male patient with 282 urinary stones, the largest of which measures 8 cm, found in the ileal conduit. The case is evaluated in terms of treatment and surgical approaches.
Anahtar Kelimeler
Etik Beyan
This article does not contain any studies with human participants or animals performed by any of the authors.
Destekleyen Kurum
None.
Kaynakça
- 1. Bricker EM. Bladder substitution after pelvic evisceration. Surg Clin North Am. 1950;30(5):1511-1521. https://doi.org/10.1016/s0039-6109(16)33147-4
- 2. Okhunov Z, Duty B, Smith AD, et al. Management of urolithiasis in patients after urinary diversions. BJU Int. 2011;108(3):330-336. https://doi.org/10.1111/j.1464-410X.2011.10194.x
- 3. Espinheira Santos V, Costa Borges EV, de Oliveira Carneiro J, R et al. Giant Stone in Ileal Conduit. Urol Int. 2020;104(1-2):163-166. https://doi.org/10.1159/000499091
- 4. Cicione A, De Nunzio C, Lombardo R, et al. Complications and quality of life of ileal conduit, orthotopic neobladder and ureterocutaneostomy: systematic review of reports using the Clavien-Dindo Classification. Minerva Urol Nefrol. 2020;72(4):408-419. https://doi.org/10.23736/S0393-2249.20.03641-3
- 5. Cohen J, Giuliano K, Sopko N, et al. Cystolitholapaxy in Ileal Conduit. Urol Case Rep. 2015;3(6):185-187. https://doi.org/10.1016/j.eucr.2015.07.005
- 6. Hertzig LL, Iwaszko MR, Rangel LJ, et al. Urolithiasis after ileal conduit urinary diversion: a comparison of minimally invasive therapies. J Urol. 2013;189(6):2152-2157. https://doi.org/10.1016/j.juro.2012.12.003
- 7. Gómez Pascual JA, del Rosal Samaniego JM, García Galisteo E, et al. Litiasis gigante en derivación urinaria tipo Bricker. Uropatía obstructiva como forma de presentación. Actas Urol Esp. 2003;27(3):240-243.
Öz
Üriner diversiyon uzun dönem komplikasyonlarından biri olan ürolitiyazis etyolojisinde bakteri kolonizasyonu, üriner staz, mukus, anatomik anormallikler etkili olmaktadır. Genellikle üst üriner sistemde taş gözlenmekte olup nadiren ileal kondilitte gözlenir. Bu ileal kondilit taşlarının tedavisi endoskopik cerrahi ile tedavisi edilse de, çoğunlukla açık cerrahidir. ileal kondilit içinde 282 adet, en büyüğü 8 cm üriner taş bulunan 28 yaşında erkek hastayı bildiriyoruz. Tedavi ve cerrahi açısından değerlendiriyoruz.
Anahtar Kelimeler
Kaynakça
- 1. Bricker EM. Bladder substitution after pelvic evisceration. Surg Clin North Am. 1950;30(5):1511-1521. https://doi.org/10.1016/s0039-6109(16)33147-4
- 2. Okhunov Z, Duty B, Smith AD, et al. Management of urolithiasis in patients after urinary diversions. BJU Int. 2011;108(3):330-336. https://doi.org/10.1111/j.1464-410X.2011.10194.x
- 3. Espinheira Santos V, Costa Borges EV, de Oliveira Carneiro J, R et al. Giant Stone in Ileal Conduit. Urol Int. 2020;104(1-2):163-166. https://doi.org/10.1159/000499091
- 4. Cicione A, De Nunzio C, Lombardo R, et al. Complications and quality of life of ileal conduit, orthotopic neobladder and ureterocutaneostomy: systematic review of reports using the Clavien-Dindo Classification. Minerva Urol Nefrol. 2020;72(4):408-419. https://doi.org/10.23736/S0393-2249.20.03641-3
- 5. Cohen J, Giuliano K, Sopko N, et al. Cystolitholapaxy in Ileal Conduit. Urol Case Rep. 2015;3(6):185-187. https://doi.org/10.1016/j.eucr.2015.07.005
- 6. Hertzig LL, Iwaszko MR, Rangel LJ, et al. Urolithiasis after ileal conduit urinary diversion: a comparison of minimally invasive therapies. J Urol. 2013;189(6):2152-2157. https://doi.org/10.1016/j.juro.2012.12.003
- 7. Gómez Pascual JA, del Rosal Samaniego JM, García Galisteo E, et al. Litiasis gigante en derivación urinaria tipo Bricker. Uropatía obstructiva como forma de presentación. Actas Urol Esp. 2003;27(3):240-243.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Üroloji |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Haziran 2025 |
| Gönderilme Tarihi | 27 Aralık 2024 |
| Kabul Tarihi | 12 Şubat 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 20 Sayı: 2 |
