الفهرس | Only 14 pages are availabe for public view |
Abstract Urolithiasis is a common problem following urinary diversion. The incidence differs according to the type of diversion. Several factors may be accused such as metabolic, infectious and anatomical factors. The patient may complain of symptoms similar to those experienced by stone formers without urinary diversion such as pain, hematuria, retention, recurrent urinary tract infections and difficult catheterization. Diagnosis of urolithiasis depends on different laboratory and radiological investigations. Laboratory investigation include urine analysis and culture, estimation of serum creatinine, oxalate, calcium, uric acid, potassium and blood PH. Radiological modalities include ultrasound, computed tomography and X-ray films with the use of contrast material. The approach of management differs according to the stone site. Also, the type of diversion could affect the management approach. Lines of management include medical, ESWL, different endoscopic procedures and open surgery. |