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  • Title: Dissolution of cystine calculi by pelviocaliceal irrigation with tromethamine-E.
    Author: Tseng CH, Talwalkar YB, Tank ES, Hatch T, Alexander SR.
    Journal: J Urol; 1982 Dec; 128(6):1281-4. PubMed ID: 7154186.
    Abstract:
    We report 3 cases of cystine calculi. The stones were dissolved by pelviocaliceal irrigation with tromethamine-E, performed either through a percutaneous nephrostomy tube or ureteral catheters. The 25, 27 and 37-day courses of irrigation were well tolerated by all patients. Complications included a single asymptomatic urinary tract infection that required antibiotic therapy and transient hematuria due to catheter irritation. Our experience demonstrates that cystine calculi, including staghorn, can be dissolved by tromethamine-E irrigation, thereby obviating the need for surgical intervention.
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