UROLITHIASIS IN CHILDREN FOLLOWING AUGMENTATION CYSTOPLASTY

被引:129
作者
PALMER, LS [1 ]
FRANCO, I [1 ]
KOGAN, SJ [1 ]
REDA, E [1 ]
GILL, B [1 ]
LEVITT, SB [1 ]
机构
[1] NEW YORK MED COLL,DIV PEDIAT UROL,VALHALLA,NY 10595
关键词
BLADDER; NEUROGENIC; CALCULI; URINARY DIVERSION;
D O I
10.1016/S0022-5347(17)35598-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Until recently urolithiasis in children following augmentation cystoplasty was an infrequently noted problem. We examined our 10-year experience and found urinary calculi to form in 52% of children and young adults undergoing augmentation cystoplasty. Calculi formed at a median interval of 24.5 months after surgery, predominately in the lower tract. Urinary tract infection was a statistically significant risk factor, while the use of absorbable staples, intestinal mucus and hypocitraturia were also implicated. Calculus composition was primarily a mixture of apatite, struvite and ammonium urate. Bladder calculi were effectively managed endoscopically in the majority of cases without complication. Upper tract calculi presented an endourological challenge.
引用
收藏
页码:726 / 729
页数:4
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