Format

Send to

Choose Destination
Actas Urol Esp. 2017 Apr;41(3):200-204. doi: 10.1016/j.acuro.2016.08.002. Epub 2016 Sep 5.

Combination of extracorporeal lithotripsy and flexible ureterorenoscopy optimize renal lithiasis therapy.

[Article in English, Spanish]

Author information

1
Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España. Electronic address: albertoperezlanzac@gmail.com.
2
Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España.

Abstract

OBJECTIVE:

Describe our initial experience in the treatment of renal lithiasis with extracorporeal lithotripsy controlled by simultaneous flexible ureterorenoscopy and combined with holmium laser lithotripsy.

MATERIAL AND METHODS:

We performed this novel technique in a previously selected patient with left renal lithiasis, two in the superior calix, two in the medium calix and two in the inferior calix, the biggest of which was placed in medium calix and was 6mm long. We proceeded to an extracorporeal shock wave lithotripsy and a simultaneous flexible ureterorenoscopy for better controlling the fragmentation of the lithiasis with the use of a holmium laser. In the immediate post-operative, an ultrasound was performed and, one month later, a computerized tomography (CT) was done.

RESULTS:

The complete fragmentation of all the lithiasis was obtained and a double-J catheter was placed. After the assessment of the absence of stone fragments by CT the catheter was removed. No intra-operative or post-operative complications were described.

CONCLUSIONS:

The technique described is novel, safe and reproducible. The good result obtained through this combined technique increases our interest in continuing with its application and consider it as an option for the treatment of renal lithiasis in our patients.

KEYWORDS:

Lithiasis; Lithotripsy; Litiasis; Litotricia; Ureterorenoscopy; Ureterorrenoscopia

PMID:
27609350
DOI:
10.1016/j.acuro.2016.08.002
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center