[The dissolution of cystine lithiasis with n-acetylcysteine]. / Disolución de una litiasis cistínica con n-acetilcisteína.
Arch Esp Urol
; 48(9): 944-8, 1995 Nov.
Article
en Es
| MEDLINE
| ID: mdl-8554400
OBJECTIVE: The results of in situ dissolution of a cystine calculus is described. This approach was attempted in a female patient for whom surgery was not considered to be the best therapeutic option. METHODS: An obstructive cystine calculus was treated by in situ litholysis using N-acetylcysteine applied locally via two percutaneous nephrostomies and adjuvant oral metaphylaxis. The patient had a long clinical history of lithiasis that had also required surgery and a family history of cystinuria. RESULTS: In situ litholysis completely dissolved the cystine calculus and avoided the need for a complex surgery. The procedure and a pharmacological analysis are presented. CONCLUSIONS: In our view, this procedure is practical, carries minimal morbidity and should be considered in the management of cystine calculus.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Acetilcisteína
/
Cálculos Renales
/
Cistina
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Arch Esp Urol
Año:
1995
Tipo del documento:
Article
Pais de publicación:
España