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Transurethral ureterolithotripsy using nephrostomy balloon catheter as occlusion balloon Shoji Hirano 1 , Jirou Kanaya 1 , Yoshitomo Kobori 1 , Susumu Niikura 1 Keyword: 経尿道的尿管砕石術 , 腎瘻 pp.997-1001
Published Date 2006/12/20
DOI https://doi.org/10.11477/mf.1413101013
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 Transureterolithotripsy(TUL)using nephrostomy balloon catheter as occlusion balloon was carried out in 10 patients with impacted stones associated with marked hydronephrosis for four years from March,2002 to March 2006. Extracorponeal shock wave lithotripsy(ESWL) therapy was unsuccessful for these impacted stones and small or fluoroscopically illegible stones. Percutaneos nephrostomy was performed 3 to 5 days before TUL. On operation,neprostomy tube was pushed down into the ureter above the stone and re-fixed by balloon inflation. Fragmenting ureteral calculi was carried out mainly with Holmium Laser. Gross hematuria on percutaneous nephrostomy was seen in one case,balloon rupture in one case,and postoperative sepsis in one case. As good visualization enabled effective fragmentation and fragmented stones did not migrate beyond balloon,therefore,TUL were successfully done without stone immigration to the renal pelvis during operation. No residual was seen. This procedure is useful for impacted upper ureteral caliculi with marked hydronephrosis.(Rinsho Hinyokika 60:997-1001,2006)


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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