The continent urinary diversion is the technique usually used to replace the urinary bladder after total cystectomy The formation of calculi in the pouch is a frequent late complication. We have treated successfully with extra corporeal wave shock lithotripsy (ESWL) two patients who have developed calculi in their pouch two years after realisation of an ileal urinary diversion (Indiana pouch). E.S.W.L. is a good and non invasive technique to cure those calculi with no danger for the continence of the pouch.
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