Effective CaOx Prevention and the Story Behind Voiding Urohydropropulsion
Cystotomy is over 150 years old and much has not changed. Surgeons still leave stones behind and suture material in the bladder lumen causes 10 to 20% of recurrences. This presentation tells the story behind voiding urohydropropulsion and uses a case to discuss how the procedure is used. We will also discuss the three most important strategies to prevent calcium oxalate urolith recurrence.
- The most effective therapy to prevent Calcium oxalate recurrence
- 1. Hire an accomplished surgeon
- 2. Over achieve urine results (low specific gravity and neutral pH with potassium citrate)
- 3. Image often to detect stones early to allow rapid removal by voiding urohydropropulsion.