ABSTRACT
La migration intravesicale du dispositif intra-uterin (DIU) par perforation uterine est une complication rare. Dans cette etude retrospective monocentrique; nous presentons notre experience de 5 cas colliges au sein de notre etablissement entre 2004 et 2009. L'age moyen de nos patientes est de 39 ans (32-48 ans). La symptomatologie clinique revelatrice etait dominee par le syndrome irritatif vesical. Le diagnostic a ete evoque sur le couple echo/AUSP; puis confirme par la cystoscopie. Le traitement a consiste en une lithotritie balistique du calcul avec extraction du sterilet par voie endoscopique chez 4 patientes et extraction chirurgicale chez une seule
Subject(s)
Case Reports , Intrauterine Device Migration , Lithotripsy , Urinary Bladder CalculiABSTRACT
Objective The majority of vesical calculi in adults can now be treated transurethrally with the use of different lithotriptors. The aim of this article was to study the effectiveness of the Egyptian pneumatic lithotriptor through a rigid cystoscope in the treatment of vesical calculi. Patients and Methods Fourteen adult patients (12 males and 2 females) had single urinary bladder stones. Mean stone diameter was 20 mm. Through a cystoscopic sheath; a modified ureteric catheter was introduced into the bladder. Using the Egyptian pneumatic lithotriptor - KH. YG2; the pneumatic probes (rigid or flexible) were passed through the catheter for stone disintegration. Results Successful stone disintegration was recorded in 13 patients (92.9) where the patients were stone-free at the end of the procedure. Failure of stone fragmentation occurred in one case (7.1). The stone was removed surgically. Its chemical composition was found to be calcium oxalate monohydrate. The average time of cystolithotripsy was 35 minutes. Hospitalization ranged from 12 to 24 hours which was longer (2 to 4 days) for those patients who had undergone other procedures. Minor complications such as mild hematuria (100) and cystitis (21.4) were observed. No major complications were noted. Conclusion The use of the Egyptian lithotriptor during cytoscopy has been found to be an effective; easy; safe and economical method for the treatment of vesical stones