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  • Title: Hemiacidrin irrigation of renal pelvic calculi in patients with ileal conduit urinary diversion.
    Author: Brock WA, Nachtsheim DA, Parsons CL.
    Journal: J Urol; 1980 Mar; 123(3):345-7. PubMed ID: 7359633.
    Abstract:
    Five quadriplegic patients with ureteroileocutaneous urinary diversion and recurrent renal calculi underwent 8 episodes of renal pelvic irrigation with hemiacidrin solution. Irrigations were done either via a nephrostomy tube or transileostomy ureteral catheters with close monitoring of urine sterility and serum magnesium. The stones were dissolved totally in 3 of 4 patients. There were no serious complications encountered during the irrigations and the only failure was in a patient with a single ureteral catheter. Serum magnesium levels were elevated mildly in 2 patients, both of whom experienced concomitant nausea and this was relieved by discontinuing the irrigations. Hemiacidrin irrigation into collecting systems that contain interposed bowel appears to be a safe and effective form of therapy for stones.
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