Prevalence of nephrolithiasis in patients with ileal bladder substitutes

Dhar, Nivedita Bhatta; Hernandez, Adrian V; Reinhardt, Karsten; Giannarini, Gianluca; Zehnder, Pascal; Müller, Roger M; Studer, Urs E (2008). Prevalence of nephrolithiasis in patients with ileal bladder substitutes. Urology, 71(1), pp. 128-30. New York, N.Y.: Elsevier 10.1016/j.urology.2007.08.058

Full text not available from this repository. (Request a copy)

OBJECTIVES: To assess the effect of ileal bladder substitutes with preservation of the ileocecal valve and distal 25 cm of ileum on nephrolithiasis. METHODS: We reviewed a consecutive series of 518 patients (44 women and 474 men) with ileal orthotopic bladder substitution in whom 55 to 65 cm of ileum was resected but with preservation of the ileocecal valve and distal 25 cm of ileum, to determine prevalence of nephrolithiasis as well as bicarbonate, base excess, creatinine levels, and urinary pH at time of stone diagnosis and 2 years before it. RESULTS: Four male patients with a median age of 66 years (range, 50 to 70 years) developed nephrolithiasis after ileal bladder substitute, for a total of five calculi. The prevalence of nephrolithiasis in this retrospective cohort is thus 1% (5 of 518). They developed the calculi after a median follow-up of 8 years (range, 4 to 17 years). The four patients were diagnosed with calculi at 2.3, 3, 10, 10.3, and 14 years after bladder substitute. Two of the stones were uric acid calculi; the remaining three were calcium oxalate. None of our patients were acidotic or had elevated serum creatinines at time of stone formation. Urinary pH determined once in spontaneously voided urine at the time of stone diagnosis was pH 6.0 for the two uric acid calculi and pH 7.0 for the remaining calculi. CONCLUSIONS: The present study demonstrates a low prevalence of calculi in our cohort.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Zehnder, Pascal Claude and Studer, Urs

ISSN:

0090-4295

ISBN:

18242380

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

04 May 2014 23:20

Publisher DOI:

10.1016/j.urology.2007.08.058

PubMed ID:

18242380

Web of Science ID:

000253194700029

URI:

https://boris.unibe.ch/id/eprint/27998 (FactScience: 115427)

Actions (login required)

Edit item Edit item
Provide Feedback