Endoscopic combined intrarenal surgery in the prone-split leg position for successful single session removal of an encrusted ureteral stent: a case report

BMC Urol. 2020 Apr 6;20(1):37. doi: 10.1186/s12894-020-00606-5.

Abstract

Background: The most serious complication of ureter stent is long-term retention of ureteral stent and stone formation around the stent.

Case presentation: A 51-year old female patient with left ureteral stent placed 2 years before developed both pyelic and vesical stones on the two ends of the double J was admitted to our hospital. Intravesical lithotripsy, retrograde ureteroscopy, and percutaneous nephrolithotripsy were performed with the patient in the prone split-leg position. All the stones and the ureteral stent were successfully removed in a single session.

Conclusions: Combined endoscopic techniques in the prone split-leg position can effectively and safely manage severely encrusted stents.

Keywords: Encrusted ureteral stent; Endoscopic combined intrarenal surgery; Prone-split leg position.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cystoscopy / methods*
  • Device Removal / methods
  • Female
  • Humans
  • Kidney Calculi / therapy*
  • Kidney Pelvis
  • Lithotripsy / methods*
  • Middle Aged
  • Nephrolithotomy, Percutaneous / methods*
  • Patient Positioning / methods*
  • Radiography, Abdominal
  • Stents*
  • Tomography, X-Ray Computed
  • Ureteroscopy / methods*
  • Urinary Bladder Calculi / surgery*