Microsurgical treatment of urinary calculi after intestinal bladder reconstruction(Report of 4 cases)

Objective:To evaluate the microsurgical treatment of urinary calculi after intestinal bladder reconstruction.Methods:Four cases of post total cystectomy treated from April 2001 to February 2003 were reviewed. Two calculi were found in the right mid-ureter and the right kidney 19 months later and 48 months later with the detinia cecal-ascending colon continent urinary reservoir respectively. The remains calculi were found in the right ureter 28 months later and the ileal pouch neobadder 26 months later with ileal orthotopic neobladder respectively. The clinical data of 4 cases were reviewed and discussed in combination with the relevant literature.Results:One calculus was shocked to pieces and moved to the coloneobladder by extracorporeal shock-wave lithotripsy (ESWL) with seldinger technique of pyeloureterography, another was fragmented by percutaneous nephrolithotomy (PNL), others were gotten ride of using by transurethral vesical Ho:YAG laser lithotripsy.Conclusions:It is fairy good and effective to carry out microsurgical techniques to urinary calculi after intestinal bladder reconstruction.