Setthawong T, Namwongsa T, Ketsuwan C. Retrograde vacuum-assisted MiniPCNL system for large distal ureteric calculus removal: A case report.
Urol Case Rep 2023;
51:102622. [PMID:
38059075 PMCID:
PMC10696236 DOI:
10.1016/j.eucr.2023.102622]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 11/10/2023] [Accepted: 11/14/2023] [Indexed: 12/08/2023] Open
Abstract
Large ureteral calculi are commonly associated with severe colic pain, complex urinary tract infections, severe hematuria, hydronephrosis, and renal deterioration, often requiring immediate surgical intervention. Ureteroscopy is a favored treatment due to its higher stone-free rates; however, it encounters difficulties in cases of a high burden of distal ureteral stones. We present a case where a patient with a significant ureteral calculus was effectively treated with a vacuum-assisted mini-percutaneous nephrolithotomy system in retrograde approach. This intervention enabled the complete removal of the stone, leading to the patient's full recovery without complications.
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