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.
Original language | English |
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Pages (from-to) | 317-318 |
Number of pages | 2 |
Journal | International Urology and Nephrology |
Volume | 36 |
Issue number | 3 |
DOIs | |
State | Published - 1 Sep 2004 |
Externally published | Yes |
Keywords
- Catheter
- Percutaneous lithotripsy
- Safety
- Ureter
ASJC Scopus subject areas
- Nephrology
- Urology