Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy
Introduction. Open surgical anatrophic nephrolithotomy (ANL) had been the standard treatment for large renal calculi prior to the development of endoscopic devices and endoscopic techniques. A previous report described the efficacy of ureteroscopy-assisted retrograde nephrostomy (UARN) and presented...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/164963 |
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| author | Takashi Kawahara Hiroki Ito Hideyuki Terao Yoshitake Kato Takehiko Ogawa Hiroji Uemura Yoshinobu Kubota Junichi Matsuzaki |
| author_facet | Takashi Kawahara Hiroki Ito Hideyuki Terao Yoshitake Kato Takehiko Ogawa Hiroji Uemura Yoshinobu Kubota Junichi Matsuzaki |
| author_sort | Takashi Kawahara |
| collection | DOAJ |
| description | Introduction. Open surgical anatrophic nephrolithotomy (ANL) had been the standard treatment for large renal calculi prior to the development of endoscopic devices and endoscopic techniques. A previous report described the efficacy of ureteroscopy-assisted retrograde nephrostomy (UARN) and presented a case of renal calculi successfully treated with UARN during percutaneous nephrolithotomy (PCNL) in a patient after ANL. Case Presentation. A 61-year-old male with left renal calculi was referred for further treatment. The patient was placed under general and epidural anesthesia, in a Galdakao-modified Valdivia position. A flexible ureteroscope (URS) was inserted, and a Lawson retrograde nephrostomy puncture wire was advanced into the flexible URS. The puncture wire then followed the route from the renal pelvis to the exit skin. Calculus fragmentation was undertaken using a pneumatic lithotripter. Conclusions. UARN for PCNL was therefore found to be a safe, effective, and appropriate treatment for a patient presenting with renal calculi after undergoing ANL. |
| format | Article |
| id | doaj-art-465b40c01d4f4b34a53813dc8106aff6 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-465b40c01d4f4b34a53813dc8106aff62025-02-03T05:58:46ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/164963164963Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic NephrolithotomyTakashi Kawahara0Hiroki Ito1Hideyuki Terao2Yoshitake Kato3Takehiko Ogawa4Hiroji Uemura5Yoshinobu Kubota6Junichi Matsuzaki7Department of Urology, Ohguchi Higashi General Hospital, 2-19-1 Irie, Kanagawa-ku, Yokohama, Kanagawa, JapanDepartment of Urology, Ohguchi Higashi General Hospital, 2-19-1 Irie, Kanagawa-ku, Yokohama, Kanagawa, JapanDepartment of Urology, Ohguchi Higashi General Hospital, 2-19-1 Irie, Kanagawa-ku, Yokohama, Kanagawa, JapanDepartment of Urology, Ohguchi Higashi General Hospital, 2-19-1 Irie, Kanagawa-ku, Yokohama, Kanagawa, JapanDepartment of Urology, Yokohama City University Graduate School of Medicine, Yokohama, JapanDepartment of Urology, Yokohama City University Graduate School of Medicine, Yokohama, JapanDepartment of Urology, Yokohama City University Graduate School of Medicine, Yokohama, JapanDepartment of Urology, Ohguchi Higashi General Hospital, 2-19-1 Irie, Kanagawa-ku, Yokohama, Kanagawa, JapanIntroduction. Open surgical anatrophic nephrolithotomy (ANL) had been the standard treatment for large renal calculi prior to the development of endoscopic devices and endoscopic techniques. A previous report described the efficacy of ureteroscopy-assisted retrograde nephrostomy (UARN) and presented a case of renal calculi successfully treated with UARN during percutaneous nephrolithotomy (PCNL) in a patient after ANL. Case Presentation. A 61-year-old male with left renal calculi was referred for further treatment. The patient was placed under general and epidural anesthesia, in a Galdakao-modified Valdivia position. A flexible ureteroscope (URS) was inserted, and a Lawson retrograde nephrostomy puncture wire was advanced into the flexible URS. The puncture wire then followed the route from the renal pelvis to the exit skin. Calculus fragmentation was undertaken using a pneumatic lithotripter. Conclusions. UARN for PCNL was therefore found to be a safe, effective, and appropriate treatment for a patient presenting with renal calculi after undergoing ANL.http://dx.doi.org/10.1155/2012/164963 |
| spellingShingle | Takashi Kawahara Hiroki Ito Hideyuki Terao Yoshitake Kato Takehiko Ogawa Hiroji Uemura Yoshinobu Kubota Junichi Matsuzaki Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy Case Reports in Medicine |
| title | Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy |
| title_full | Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy |
| title_fullStr | Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy |
| title_full_unstemmed | Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy |
| title_short | Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy |
| title_sort | ureteroscopy assisted retrograde nephrostomy uarn after anatrophic nephrolithotomy |
| url | http://dx.doi.org/10.1155/2012/164963 |
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