E A Granados Loarca1. 1. Clínica Torre Profesional, Quetzaltenango, Guatemala.
Abstract
OBJECTIVE: To analyze the utility of chemolysis and the double-J ureteral catheter in patients with uric acid calculi. METHODS: The study comprised 30 patients (28 men and 2 women) treated with chemolysis for uric acid calculi and who consulted for renal colic. The indication for placement of a double-J ureteral stent were pain, moderate-to-severe hydronephrosis, fever and urinary tract infection. The calculi were < or = 10 mm in size and were located in the renal pelvis (3), upper ureter (5), middle ureter (2) and lower ureter (23). RESULTS: The uric acid calculi were dissolved with intravenous and oral combination chemolysis. The double-J catheter was useful in the cases with urinary tract obstruction, fever or urinary tract infection. CONCLUSIONS: Medical treatment is useful in the management of uric acid calculi. The double-J catheter is beneficial in patients with urinary tract obstruction.
OBJECTIVE: To analyze the utility of chemolysis and the double-J ureteral catheter in patients with uric acid calculi. METHODS: The study comprised 30 patients (28 men and 2 women) treated with chemolysis for uric acid calculi and who consulted for renal colic. The indication for placement of a double-J ureteral stent were pain, moderate-to-severe hydronephrosis, fever and urinary tract infection. The calculi were < or = 10 mm in size and were located in the renal pelvis (3), upper ureter (5), middle ureter (2) and lower ureter (23). RESULTS: The uric acid calculi were dissolved with intravenous and oral combination chemolysis. The double-J catheter was useful in the cases with urinary tract obstruction, fever or urinary tract infection. CONCLUSIONS: Medical treatment is useful in the management of uric acid calculi. The double-J catheter is beneficial in patients with urinary tract obstruction.