Retroperitoneal ureterolithotomy - preliminary results
Article published in Urologia Polska 2004/57/3.

authors

Adam Dorobek, Ryszard Szcześniewski, Andrzej Koziak, Tadeusz Dmowski, Piotr Kania, Adam Marcheluk

Oddział Urologii im. Prof. Tadeusza Krzeskiego Wojewódzkiego Szpitala Specjalistycznego w Siedlcach
Ordynator oddziału: dr n. med. Andrzej Koziak

keywords

ureter, ureteral calculi, retroperitoneoscopic ureterolithotomy

summary

objective

To review our experience with retropritoneoscopic ureterolithotomy.

patients and methods

Between 2000 and 2003 retroperitoneoscopic ureterolithotomy was performed in 19 patients with large and hard stones as a primary procedure (7 patients) or as a salvage procedure after failure of first - line treatments (12 patients). Operative time, intraoperative complications and blood loss range, postoperative hospital stay and postoperative complications were analysed.

results

All but one stone were succesfully removed. The mean operative duration was 101 minutes and mean postoperative hospital stay was 5,7 days. The mean blood loss was 34,5 ml. The one postoperative complication encountered was urinary fistula.

conclusions

Retroperitoneoscopic ureterolithotomy is a safe and effective procedure that should be preferred as a second-line treatment when minimally invasive first - line treatment have failed or are unlikely to be effective.