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Current Urology Reports
Published in: Current Urology Reports 6/2014

01-06-2014 | Minimally Invasive Surgery (V Bird and M Desai, Section Editors)

Surgical Management of Urolithiasis in Spinal Cord Injury Patients

Authors: Philippe Nabbout, Gennady Slobodov, Daniel J. Culkin

Published in: Current Urology Reports | Issue 6/2014

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Abstract

Urolithiasis is a common condition in patients with spinal cord injury (SCI). Surgical management of stones in this population is more challenging and associated with lower clearance rates than the general population. The rate of complications – specifically infectious complications – is also high due to the chronic bacterial colonization. Shock wave lithotripsy (SWL) has a low clearance rate of 44–73 %. Percutaneous nephrolithotripsy is indicated for larger nephrolithiasis, but multiple procedures may be required to clear the stones. Ureteroscopy has been associated with low success rates because of difficulty in obtaining ureteral access. Historically, bladder stones were managed with open surgery or SWL. Recently, good results have been reported with the combination of endoscopic and laparoscopic techniques. Surgical management of urolithiasis in patients with SCI should be performed in high-volume centers in light of the technical challenges and higher rate of perioperative complications.
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Metadata
Title
Surgical Management of Urolithiasis in Spinal Cord Injury Patients
Authors
Philippe Nabbout
Gennady Slobodov
Daniel J. Culkin
Publication date
01-06-2014
Publisher
Springer US
Published in
Current Urology Reports / Issue 6/2014
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-014-0408-3

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