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Another method for localization of radiolucent urinary stones during ESWL
Other Title(s)
طريقة أخرى لتحديد مكان الحصوات الشفافة للأشعة أثناء ESWL في الجهاز البولي
Joint Authors
Ibrahim, Ahmad I. A.
Pandyan, Soundra
Source
Sudan Journal of Medical Sciences
Issue
Vol. 2, Issue 2 (30 Jun. 2007), pp.81-86, 6 p.
Publisher
Omdurman Islamic University Faculty of Medicine
Publication Date
2007-06-30
Country of Publication
Sudan
No. of Pages
6
Main Subjects
Topics
Abstract AR
المقدمة و الأهداف : تحديد مكان الحصوات الشفافة في الجهاز البولي يتم عادة بواسطة الأشعة التلفزيونية أو بحقن مادة معتمة بالوريد أو تحت الجلد.
تهدف الدراسة الحالية لمعرفة الإمكانية و الأمان عند تحديد مكان مثل تلك الحصوات باستخدام مادة معتمة تحقن في المثانة البولية.
المرضى و الطرق : شملت الدراسة عدد 46 مريض.
تم إدخال 100 مل من المادة المعتمة مذابة في 500 مل من المحلول الملحي المتعادل إلى داخل المثانة البولية بواسطة ذراع توصيلة على شكل (واى) مركبة في قسطرة بولية بينما تم توصيل الذراع الثانية إلى جهاز لقياس الضغط المائي داخل المثانة البولية.
النتائج و الخلاصة : تم تحديد مكان الحصوات الشفافة في 37 (80 %) من عدد 46 مريض و لم تحدث لهم مضاعفات هامة و كل هذه الحصوات تم علاجها و إخراجها بالكامل في خلال 3 شهور.
أن الطريقة المذكور أعلاه تعتبر آمنة و سهلة و يمكن إعادة أجرائها.
Abstract EN
Objectives : 1.
To study the feasibility and safety of localization of radiolucent urinary stones during ESWL utilizing the refluxing intravesically injected contrast medium along indwelling ureteral stents.
2.
To identify the optimum volume of contrast medium and the intravesical pressure at which adequate vesicoureteric reflux sufficient for collecting system pacification occurs.
3.
To identify criteria by which successful localization can be predicted.
Methods : With antibacterial prophylaxis, hundred mls.
of contrast medium diluted with 500 ml normal saline was infused into the bladder through a Y shaped connection attached to a pre-inserted urethral catheter with the other limb connected to a water manometer for the purpose of continuous intravesical pressure recordings.
The amount of infused contrast medium and intravesical pressure at which adequate visualization by fluoroscopy occurred was recorded.
Successful stone localization was correlated with the infused contrast medium volume, intravesical pressure, infection, stone location, age, weight, stent duration and fluoroscopy time.
Results : Forty six patients were studied.
Clear stone localization to facilitate shock targeting was achieved in 37 patients (80 %).
This occurred with a mean contrast volume of 300 ml at 20 cm water mean intravesical pressure.
Apart from urinary tract infection which was associated with a significantly lower success rate, there were no other criteria by which success can be predicted.
There were no significant complications and all visualized stones disintegrated well and were completely cleared at 3 months.
Conclusions : The method is safe, easy repeatable and suitable for targeting radiolucent urinary stones during ESWL in patients with ureteral stents.
American Psychological Association (APA)
Ibrahim, Ahmad I. A.& Pandyan, Soundra. 2007. Another method for localization of radiolucent urinary stones during ESWL. Sudan Journal of Medical Sciences،Vol. 2, no. 2, pp.81-86.
https://search.emarefa.net/detail/BIM-293269
Modern Language Association (MLA)
Ibrahim, Ahmad I. A.& Pandyan, Soundra. Another method for localization of radiolucent urinary stones during ESWL. Sudan Journal of Medical Sciences Vol. 2, no. 2 (Jun. 2007), pp.81-86.
https://search.emarefa.net/detail/BIM-293269
American Medical Association (AMA)
Ibrahim, Ahmad I. A.& Pandyan, Soundra. Another method for localization of radiolucent urinary stones during ESWL. Sudan Journal of Medical Sciences. 2007. Vol. 2, no. 2, pp.81-86.
https://search.emarefa.net/detail/BIM-293269
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 84-85
Record ID
BIM-293269