Endoscopic Combined Intrarenal Surgery Without Ureteral Access Sheath Performed for Renal Stone After Cohen Reimplantation

Overview

Journal IJU Case Rep

Date 2024 Jul 5

PMID 38966770

Authors

Tetsuo Fukuda

Ryo Kawahata

Hironao Tajirika

Tatsuro Ishikawa

Junichi Matsuzaki

Affiliations

Soon will be listed here.

Abstract

Introduction: Endoscopic combined intrarenal surgery after anti-reflux operation is rarely performed.

Case Presentation: A 37-year-old female was referred to our hospital for treatment of left renal stone. She underwent anti-reflux surgery (Cohen reimplantation) for left vesicoureteral reflux at the age of 10 years. Computed tomography revealed a 17 × 11 mm left inferior calyceal calculus. The patient received retrograde double-J stent insertion under radiographic guidance and underwent ultra-mini endoscopic combined intrarenal surgery without ureteral access sheath. The patient was discharged on postoperative Day 5 with no postoperative complications. Postoperative cystography showed no recurrence of vesicoureteral reflux. One month after the operation, kidney-ureter-bladder radiography and computed tomography scan revealed no residual stones or hydronephrosis.

Conclusion: Ultra-mini endoscopic combined intrarenal surgery without ureteral access sheath is an effective method for treating renal stones after Cohen reimplantation.

References

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