Clinical study on internal or external diversion for the treatment of ureteral calculi complicated with urinary sepsis

Abstract

Objective To compare the clinical effects of internal and external diversion in the treatment of ureteral calculi complicated with urinary sepsis. Methods From May 2014 to May 2017, 38 patients with urinary sepsis caused by ureteral calculi obstruction in our hospital were randomly divided into internal diversion group(cystoscopy or ureteroscopic double-J tube insertion) and external diversion group(percutaneous nephrostomy under the B-ultrasound guidance). The success rate, the time of urinary sepsis control, the incidence of urinary sepsis and septic shock after operation were compared between two groups. Results There was no significant difference in the success rate between the two groups, and the control time of urinary sepsis in the external drainage group was relatively short, and no patient developed urinary sepsis after operation.There were 5 cases of recurrent urinary sepsis after ureteroscopic lithotripsy in internal diversion group. Conclusions External diversion is more advantageous in patients with ureteral calculi and urinary sepsis. Key words: Ureteral Calculi; Sepsis; Drainage