Urolithiasis following formation of a continent urostomy: case report and review of the literature.

Abstract:

BACKGROUND:Formation of urinary stones in a continent urostomy (Indiana pouch) has been described as a late complication. Management of a patient with symptomatic multiple large stones and review of the literature are outlined. CASE REPORT:A 32-year-old woman presented with recurrent urinary tract infections and pyelonephritis 6 years after a total pelvic exenteration and creation of a continent urostomy for central recurrent carcinoma of the cervix after radical pelvic radiation. Multiple large stones were found to be the underlying etiology. Laparotomy, enterocystotomy, and removal of stones were performed without apparent complication. CONCLUSION:It is recommended that for single calculi or multiple small stones, electroshock wave lithotripsy or the percutaneous endoscopic approach be considered. For larger stones the use of laparotomy and enterocystostomy may be appropriate.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Sait K,Stuart G,Nation J,Ghatage P

doi

10.1006/gyno.2000.5750

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

330-3

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(00)95750-0

journal_volume

77

pub_type

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