Abstract
Background: The second (“safety”) of two guide wires is commonly inserted antegradely in percutaneous nephrolithotripsy (PCNL). We describe the retrograde insertion of a through-and-through safety guide wire during PCNL. Methods: After inserting a percutaneous nephrostomy 1 day earlier, a guide wire was introduced through the nephrostomy tube to the bladder and pulled out through the urethral meatus via a cystoscope and grasper. The tube was removed, leaving the wire positioned from the flank to the meatus. A dual-lumen catheter was introduced retrogradely through the urethra over the wire, up to the nephrostomy incision. The safety guide wire was introduced retrogradely through the catheter’s other port. Results: This procedure succeeded in 9 of 10 patients: the exception was very obese and the catheter was too short to reach the incision in the flank. Conclusion: Using a dual-lumen catheter allows quick and simple retrograde insertion of a safety guide wire during PCNL.
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References
AJ LeRoy (1996) Dilation and maintenance of the nephrostomy tract. In: Smith′s Textbook of Endourology, Chapter 16 Quality Medical Publishing, Inc. St. Louis, MO 224–232
S Meretyk M Nusenbaum Y Genesin A Ofer et al. (1999) ArticleTitleThe through and through guide wire in PCNL procedures J Endourol 13(suppl) PA91–PS10-3
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Greenstein, A., Sofer, M., Mabjeesh, N. et al. Per urethra insertion of a through-and-through safety guide wire using a dual-lumen ureteral catheter during percutaneous nephrolithotripsy. Int Urol Nephrol 36, 317–318 (2004). https://doi.org/10.1007/s11255-004-0744-1
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DOI: https://doi.org/10.1007/s11255-004-0744-1