An Ideal Treatment Modality for Large Ureteral Stones: Case Report | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 49, Volume 97, Issue 1, October 2024, Pages 3750-3753 PDF (419.25 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2024.388698 | ||
| Abstract | ||
| Background: The open method of surgically removing kidney stones has been radically replaced by less intrusive minimally invasive methods since the advent of shock-wave lithotripsy (SWL) and subsequent technological developments in endoscopic techniques, such as ureterorenoscopy (URS) and percutaneous nephrolithotomy (PCNL). Objective: We aimed to delineate Ideal treatment modality for large upper ureteral stones. Subjects and methods: A 47 years married male heavy worker and heavy smoker patient presented with right loin pain with hematuria 7 days ago increasing with time responded to NSAIDS. Management done using Ureteroscopy and percutaneous nephrolithotomy. Results: Symptoms started with right loin pain and hematuria, with recent dysuria ultrasound showed bilateral back pressure. Urine analysis showed microscopic hematuria and creatinine was 2.2. Non-contrast CT showed right lower ureteric stone and left upper ureteric large stone and multiple sizable left renal stones and we removed all stones with our technique. Conclusion: Push back of large upper ureteral stones and retrieval percutaneously using nephoscope was a good option specially if associated with renal stones with large burden. | ||
| Keywords | ||
| Large ureteral stones; Treatment modality; Nephroscopy | ||
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