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Surgical Management of Urolithiasis in Spinal Cord Injury Patients

  • Minimally Invasive Surgery (V Bird and M Desai, Section Editors)
  • Published:
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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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Acknowledgments

The authors would like to acknowledge Mrs. Beverly Shipman for her help in the literature review and the technical support she provided to write this article.

Compliance with Ethics Guidelines

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Conflict of Interest

Dr. Philippe Nabbout, Dr. Gennady Slobodov, and Dr. Daniel J Culkin each declare no potential conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, WP 3150, Oklahoma City, OK, 73104, USA

    Philippe Nabbout, Gennady Slobodov & Daniel J. Culkin

Authors
  1. Philippe Nabbout
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  2. Gennady Slobodov
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  3. Daniel J. Culkin
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Correspondence to Daniel J. Culkin.

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This article is part of the Topical Collection on Minimally Invasive Surgery

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Nabbout, P., Slobodov, G. & Culkin, D.J. Surgical Management of Urolithiasis in Spinal Cord Injury Patients. Curr Urol Rep 15, 408 (2014). https://doi.org/10.1007/s11934-014-0408-3

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  • DOI: https://doi.org/10.1007/s11934-014-0408-3

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