Actas urologicas españolas
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Review Case Reports
[Giant calcifications of a double-J ureteral catheter].
We present a case of recurring gigantic calcifications of both extreme of a double-J ureteral catheter, with long permanency of the same. We expose the technical maneuvers that were specified for the managing of so important complication. We emphasize the renal functional conservation found in spite of the magnitude of the calcifications. We check the national literature in this regard of this complication and we expose the etiological mechanisms, prophylactic recommendations and therapeutic managing of this complication to the extended use of ureteral catheters.
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Pelvic trauma is associated in a high rate of patients with posterior urethral injuries. Blood at the urethral meatus or the inability to void are suspicious of urethral damage, but their absence do not exclude it. The attempt to pass a urethral catheter can worse a previous injury. ⋯ There was 60 urethral injuries among 565 pelvic trauma (10.61%); 15 (25%) grade I were associated with trauma of the posterior ring of the pelvis; 17 (28.3%) grade II were associated in 12 cases with fractures of the anterior ring and in 5 cases with severe fractures of the posterior ring; 28 (46.66%) grade III were associated in 26 cases with fractures of the anterior ring and 2 fracture-luxation of the posterior one. Against the suggest of avoiding the attempt of passing a urethral catheter, nearly all patients had suffered and attempt before the urologist were asked for. The deferred combined urethrography was the best method of urethral evaluation.